Unknown Individual – Counselor, NPI 1073661443

Unknown Individual is a healthcare provider. based in Jackson, Michigan. specializing in Counselor. They hold a License No. 6401002806 027890 (MI). The NPI Number for Unknown Individual is 1073661443

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073661443
Phone
(517) 780-3336
Address
1200 N WEST AVE
Deactivation Date
12 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Avenue, Jackson, Butts County, Georgia, 30233, United States

    SUITE #400

    JACKSON, MI 49202

    Phone: (517) 780-3336

    Fax: (517) 796-4561

    Type: Mailing

  • 1218, Greenwood Avenue, Jackson, Jackson County, Michigan, 49203, United States

    JACKSON, MI 49201

    Phone: (517) 990-0596

    Fax: (577) 990-1280

    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 49202)

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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 1073661443.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Jackson?
Public fields place Unknown Individual around Jackson, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.