Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1114055571

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 71847 (MA). The NPI Number for Unknown Individual is 1114055571

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114055571
Phone
Not provided
Address
61 MASON TER
Deactivation Date
31 January 2022
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

Provider Addresses for Unknown Individual

  • 61 MASON TER

    BROOKLINE, MA 024462602

    Phone:

    Type: Mailing

  • NORTH SUFFOLK MENTAL HEALTH ASSOCIATION

    265 BEACH ST.

    REVERE, MA 021510000

    Phone: (617) 912-7700

    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 02446)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1114055571.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Addiction (Substance Use Disorder) Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Brookline, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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