Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1801805072

Unknown Individual is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 517 (MA). The NPI Number for Unknown Individual is 1801805072

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801805072
Phone
(617) 971-2103
Address
75 BICKFORD ST
Deactivation Date
30 October 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

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Provider Addresses for Unknown Individual

  • Boston Children's at Martha Eliot, 75, Bickford Street, Mildred C. Hailey Apartments, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States

    JAMAICA PLAIN, MA 021301401

    Phone: (617) 971-2103

    Fax: (617) 983-1377

    Type: Location

  • 172, Brush Hill Road, Milton Upper Mills, Milton, Norfolk County, Massachusetts, 02126, United States

    MILTON, MA 021861115

    Phone: (617) 698-9787

    Fax: (617) 983-1377

    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.

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.

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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 02130)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1801805072.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Jamaica Plain, Massachusetts for Unknown Individual based on available NPPES addresses.
What if Jamaica Plain, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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