Unknown Individual – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1508175522

Unknown Individual is a healthcare provider. based in Streator, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for Unknown Individual is 1508175522

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508175522
Phone
(815) 433-3953
Address
115 OAK ST
Deactivation Date
27 September 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 115 OAK ST

    STREATOR, IL 613642805

    Phone: (815) 433-3953

    Fax: (815) 433-3980

    Type: Location

  • 424 W MADISON ST

    OTTAWA, IL 613502833

    Phone: (815) 433-3953

    Fax: (815) 433-3980

    Type: Mailing

  • 205 PRATT ST

    STREATOR, IL 613642797

    Phone: (815) 433-3953

    Fax: (815) 433-3980

    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 61364)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1508175522.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Mental Health Clinic/Center (Including Community Mental Health Center) is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Streator, Illinois; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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