Unknown Individual – Mental Health Counselor, NPI 1003980392

Unknown Individual is a healthcare provider. based in Portage, Michigan. specializing in Mental Health Counselor. They hold a License No. 6301005505 (MI). The NPI Number for Unknown Individual is 1003980392

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003980392
Phone
(269) 353-4588
Address
4805 BRIARHILL DR
Deactivation Date
30 August 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

  • 4805, Briarhill Drive, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490249537

    Phone: (269) 353-4588

    Fax: (269) 353-4588

    Type: Mailing

  • 300, South Street, Schoolcraft Township, Kalamazoo County, Michigan, 49087, United States

    KALAMAZOO, MI 49007

    Phone: (269) 353-4588

    Fax: (269) 353-4588

    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.

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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 ·

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 49024)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1003980392 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Portage, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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