Unknown Individual – Mental Health Counselor, NPI 1790872505

Unknown Individual is a healthcare provider. based in Highland park, Illinois. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1790872505

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790872505
Phone
(847) 433-0099
Address
1470 SHERIDAN ROAD
Deactivation Date
13 May 2021
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

  • 1470, Sheridan Road, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600353463

    Phone: (847) 433-0099

    Type: Mailing

  • 814, Pleasant Avenue, Ravinia Highlands, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600353463

    Phone: (847) 452-7273

    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.

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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 60035)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1790872505 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Highland Park, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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