Unknown Individual – Mental Health Counselor, NPI 1457453631

Unknown Individual is a healthcare provider. based in Bloomington, Illinois. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1457453631

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457453631
Phone
(309) 827-5351
Address
108 W MARKET ST
Deactivation Date
11 January 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

  • 108, West Market Street, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617013918

    Phone: (309) 827-5351

    Fax: (309) 829-6808

    Type: Location

  • 306, Carriage Hills Road, Carriage Hills, Normal, McLean County, Illinois, 61761, United States

    NORMAL, IL 617614814

    Phone: (309) 830-2371

    Type: Mailing

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.

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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 61701)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1457453631 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bloomington, Illinois in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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