Unknown Individual – Mental Health Counselor, NPI 1043364037

Unknown Individual is a healthcare provider. based in Michigan city, Indiana. specializing in Mental Health Counselor. They hold a License No. 34002020A (IN). The NPI Number for Unknown Individual is 1043364037

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1043364037
Phone
(219) 879-0431
Address
3739 LEXINGTON RD
Deactivation Date
29 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3739, Lexington Road, Michigan City, LaPorte County, Indiana, 46360, United States

    MICHIGAN CITY, IN 463606824

    Phone: (219) 879-0431

    Mailing address matches the actual address.

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 46360)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1043364037 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Michigan City, Indiana for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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