Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1265500342

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. LADC II (MA). The NPI Number for Unknown Individual is 1265500342

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265500342
Phone
(617) 534-4212
Address
1010 MASSACHUSETTS AVENUE
Deactivation Date
11 September 2024
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

Loading map...

Provider Addresses for Unknown Individual

  • 1010, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 02118

    Phone: (617) 534-4212

    Fax: (617) 534-4221

    Type: Mailing

  • Northampton Square, 721;723;725;727;727, Massachusetts Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 02118

    Phone: (617) 534-4212

    Fax: (617) 534-4221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 02118)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1265500342.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Boston, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

Health Care Resource Centers

Substance Use Disorder Rehabilitation Clinic/Center
23 Bradston St
NPI: 1912980251

Unknown Individual

Addiction (Substance Use Disorder) Counselor
251, Causeway Street, Dock Square, North End, Boston, Suffolk County, Massachusetts, 02222, United States
NPI: 1730192824

WENTWORTH DOUGLASS PHYSICIAN CORPORATION

Magnetic Resonance Imaging Radiologic Technologist
PO BOX 412503
NPI: 1447352430

SANDRA LEE MOEHLE (LCSW)

Clinical Social Worker
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1447349386
251, Causeway Street, Dock Square, North End, Boston, Suffolk County, Massachusetts, 02222, United States
NPI: 1821188111

MICHELLE AXELSON (CADAC)

Addiction (Substance Use Disorder) Counselor
7, Haviland Street, Back Bay, Boston, Suffolk County, Massachusetts, 02115, United States
NPI: 1922186220

STEVEN J KLARER

Addiction (Substance Use Disorder) Counselor
Boston, Suffolk County, Massachusetts, United States
NPI: 1366519092

Unknown Individual

Addiction (Substance Use Disorder) Counselor
99, Topeka Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1295803351

JOAN K WATTIMO (MS)

Addiction (Substance Use Disorder) Counselor
1010, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1750459830