Unknown Individual – Counselor, NPI 1457577611

Unknown Individual is a healthcare provider. based in Rockford, Illinois. specializing in Counselor. The NPI Number for Unknown Individual is 1457577611

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457577611
Phone
(815) 965-1397
Address
1816 MELROSE ST
Deactivation Date
11 November 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

Provider Addresses for Unknown Individual

  • 1816 MELROSE ST

    ROCKFORD, IL 611034750

    Phone: (815) 965-1397

    Type: Mailing

  • 210 N LONGWOOD ST

    ROCKFORD, IL 611074134

    Phone: (815) 962-5585

    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 61103)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1457577611 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Rockford, Illinois because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1457577611. Always confirm identity and privileges with the practice and licensing boards.

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