Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1528166949

Unknown Individual is a healthcare provider. based in Waterloo, Illinois. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for Unknown Individual is 1528166949

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528166949
Phone
(618) 939-4444
Address
988 N ILLINOIS ROUTE 3
Deactivation Date
21 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • Market at Illinois Route 3, North Market Street, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622981000

    Phone: (618) 939-4444

    Fax: (618) 939-4181

    Type: Location

  • 311, North 3rd Street, Baldwin, Randolph County, Illinois, 62217, United States

    BALDWIN, IL 622171031

    Phone: (618) 785-2485

    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.

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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 62298)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1528166949 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Waterloo, Illinois for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.