Unknown Individual – Professional Counselor, NPI 1073520987

Unknown Individual is a healthcare provider. based in Wichita, Kansas. specializing in Professional Counselor. They hold a License No. 0083491 (NM). The NPI Number for Unknown Individual is 1073520987

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073520987
Phone
(316) 518-1010
Address
2330 E DOUGLAS AVE
Deactivation Date
16 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2330, East Douglas Avenue, Wichita, Sedgwick County, Kansas, 67214, United States

    WICHITA, KS 672144437

    Phone: (316) 518-1010

    Fax: (316) 262-1787

    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 67214)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1073520987 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Wichita?
Unknown Individual currently maps to Wichita, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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