Unknown Individual – Professional Counselor, NPI 1376624502

Unknown Individual is a healthcare provider. based in Taylorville, Illinois. specializing in Professional Counselor. The NPI Number for Unknown Individual is 1376624502

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376624502
Phone
(217) 824-4905
Address
PO BOX 438
Deactivation Date
7 June 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 438

    TAYLORVILLE, IL 62568

    Phone: (217) 824-4905

    Fax: (217) 824-3570

    Type: Mailing

  • 730, North Pawnee Street, Taylorville, Christian County, Illinois, 62568, United States

    TAYLORVILLE, IL 62568

    Phone: (217) 824-4905

    Fax: (217) 824-3570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62568)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1376624502 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Professional Counselor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Taylorville, Illinois may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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