Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1386799674

Unknown Individual is a healthcare provider. based in Quincy, Massachusetts. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CADAC 0450 AD (MA). The NPI Number for Unknown Individual is 1386799674

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386799674
Phone
(617) 847-1923
Address
859 WILLARD ST
Deactivation Date
23 October 2025
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

  • 859 Willard St, Granite Street, Braintree, Norfolk County, Massachusetts, 02269, United States

    QUINCY, MA 021697482

    Phone: (617) 847-1923

    Type: Location

  • 1, Curve Street, Medfield, Norfolk County, Massachusetts, 02052, United States

    MEDFIELD, MA 020522510

    Phone: (508) 359-7510

    Type: Mailing

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.

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 02169)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1386799674 for Unknown Individual, then check state licensing separately.
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 is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Quincy, Massachusetts in our summary view.
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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