Unknown Individual – Mental Health Counselor, NPI 1104930676

Unknown Individual is a healthcare provider. based in Lynn, Massachusetts. specializing in Mental Health Counselor. They hold a License No. 588 (MA). The NPI Number for Unknown Individual is 1104930676

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104930676
Phone
(781) 596-2502
Address
PO BOX 526
Deactivation Date
5 February 2026
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

  • PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom

    LYNN, MA 01903

    Phone: (781) 596-2502

    Fax: (781) 596-3966

    Type: Mailing

  • 269, Union Street, Lynn, Essex County, Massachusetts, 01901, United States

    LYNN, MA 01901

    Phone: (781) 595-7747

    Fax: (781) 595-7990

    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.

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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 01903)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1104930676 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Lynn, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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