Unknown Individual – Mental Health Counselor, NPI 1053476648

Unknown Individual is a healthcare provider. based in Cambridge, Massachusetts. specializing in Mental Health Counselor. They hold a License No. 7632 (MA). The NPI Number for Unknown Individual is 1053476648

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053476648
Phone
(617) 335-1338
Address
23 FAIR OAKS ST
Deactivation Date
21 June 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

  • 21;23, Fair Oaks Street, North Cambridge, Cambridge, Middlesex County, Massachusetts, 02140, United States

    CAMBRIDGE, MA 021401105

    Phone: (617) 335-1338

    Type: Mailing

  • 10, Roessler Road, Woburn, Middlesex County, Massachusetts, 01801, United States

    WOBURN, MA 018016208

    Phone: (781) 932-8114

    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 02140)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1053476648.
How do I interpret inactive records for Unknown Individual?
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 Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Cambridge, Massachusetts for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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