Unknown Individual – Mental Health Counselor, NPI 1104175223

Unknown Individual is a healthcare provider. based in Roseville, Michigan. specializing in Mental Health Counselor. They hold a License No. 6401013797 (MI). The NPI Number for Unknown Individual is 1104175223

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104175223
Phone
Not provided
Address
28750 WAVERLY ST
Deactivation Date
18 February 2022
Data current as of
20 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

  • 28750 WAVERLY ST

    ROSEVILLE, MI 480667439

    Phone:

    Mailing address matches the actual address.

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 48066)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1104175223 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Roseville, Michigan?
If you are local to Roseville, Michigan, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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