Unknown Individual – Counselor, NPI 1821214008

Unknown Individual is a healthcare provider. based in Beverly, Massachusetts. specializing in Counselor. They hold a License No. 0391AL, 168 (MA). The NPI Number for Unknown Individual is 1821214008

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821214008
Phone
Not provided
Address
113 WATER ST. #79
Deactivation Date
27 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 113 WATER ST. #79

    BEVERLY, MA 019155070

    Phone:

    Type: Mailing

  • 113 WATER ST APT 79

    BEVERLY, MA 019155070

    Phone: (781) 289-9331

    Fax: (781) 286-5636

    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 01915)

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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 1821214008.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Counselor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Beverly, Massachusetts may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.