Unknown Individual – Mental Health Counselor, NPI 1104860188

Unknown Individual is a healthcare provider. based in W bloomfield, Michigan. specializing in Mental Health Counselor. They hold a License No. 005628 (MI). The NPI Number for Unknown Individual is 1104860188

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104860188
Phone
(248) 683-4880
Address
3930 MAPLE HILL ST W
Deactivation Date
22 May 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

Loading map...

Provider Addresses for Unknown Individual

  • 3930 MAPLE HILL ST W

    W BLOOMFIELD, MI 483231743

    Phone: (248) 683-4880

    Fax: (248) 683-4881

    Type: Mailing

  • Woodward Avenue, Bloomfield Hills, Oakland County, Michigan, 48009:48304, United States

    SUITE 202

    BLOOMFIELD HILLS, MI 483040926

    Phone: (248) 433-3244

    Fax: (248) 433-1727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 48323)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1104860188 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect W Bloomfield, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. JOHN S SAFRAN (ED.D)

Mental Health Counselor
2015, North Hammond Lake Road, Hammond Lake Estates, West Bloomfield Township, Oakland County, Michigan, 48324, United States
NPI: 1124063946
6910 LESLEE CREST DR
NPI: 1144352618

KAREN ANNE SCHURGIN (MA PSY S)

Clinical Psychologist
4517, Kevin Court, West Bloomfield Township, Oakland County, Michigan, 48322, United States
NPI: 1417150889