Unknown Individual – Counselor, NPI 1780749093

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Counselor. They hold a License No. 205845 (MA). The NPI Number for Unknown Individual is 1780749093

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780749093
Phone
(617) 643-8080
Address
332 HANOVER ST
Deactivation Date
27 December 2023
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

  • 332, Hanover Street, Dock Square, North End, Boston, Suffolk County, Massachusetts, 02113, United States

    BOSTON, MA 021131901

    Phone: (617) 643-8080

    Fax: (617) 643-8127

    Type: Location

  • 10,12, North Bennet Street, North End, Boston, Suffolk County, Massachusetts, 02113, United States

    BOSTON, MA 021131918

    Phone: (617) 227-1407

    Fax: (617) 643-8127

    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.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02113)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1780749093.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Boston, Massachusetts as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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