Unknown Individual – Pastoral Counselor, NPI 1164533766

Unknown Individual is a healthcare provider. based in Portland, Maine. specializing in Pastoral Counselor. They hold a License No. LP584 (ME). The NPI Number for Unknown Individual is 1164533766

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164533766
Phone
(207) 773-1314
Address
PO BOX 1259
Deactivation Date
20 February 2025
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

  • Portland Post Office, 320, Main Street, Gildersleeve, Portland, Lower Connecticut River Valley Planning Region, Connecticut, 06480, United States

    PORTLAND, ME 04104

    Phone: (207) 773-1314

    Type: Mailing

  • 39, Deering Street, Parkside, Portland, Cumberland County, Maine, 04101, United States

    PORTLAND, ME 04104

    Phone: (207) 773-1314

    Fax: (207) 871-0117

    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 04104)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1164533766.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Pastoral Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Portland, Maine as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.