Unknown Individual – Mental Health Counselor, NPI 1124226840

Unknown Individual is a healthcare provider. based in Lincoln park, Michigan. specializing in Mental Health Counselor. They hold a License No. 6801058304 (MI). The NPI Number for Unknown Individual is 1124226840

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124226840
Phone
(313) 926-2717
Address
1122 CLOVERLAWN BLVD
Deactivation Date
24 April 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

  • 1122, Cloverlawn Boulevard, Lincoln Park, Wayne County, Michigan, 48146, United States

    LINCOLN PARK, MI 481464200

    Phone: (313) 926-2717

    Type: Mailing

  • Eureka Road, Taylor, Wayne County, Michigan, 48174, United States

    SUITE A

    TAYLOR, MI 481804835

    Phone: (724) 955-3550

    Fax: (734) 955-3562

    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 48146)

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

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1124226840 on file in the registry.
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.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Lincoln Park?
Unknown Individual currently maps to Lincoln Park, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

26184 OUTER DR
NPI: 1235268160

DIANE HAYWARD WICKHAM (L.P.C.)

Mental Health Counselor
26300 OUTER DR.
NPI: 1376761684

MR. WILLIAM CARL PARHAM (LBSW)

Mental Health Counselor
26184, West Outer Drive, Lincoln Park, Wayne County, Michigan, 48146, United States
NPI: 1124221148

MR. RICHARD SMOLINSKI (LCSW)

Mental Health Counselor
517, Kings Highway, Emmons Orchard Subdivision, Wyandotte, Wayne County, Michigan, 48192, United States
NPI: 1275736225

LAURA ANN BOROS (MA LLP)

Clinical Child & Adolescent Psychologist
26184, West Outer Drive, Lincoln Park, Wayne County, Michigan, 48146, United States
NPI: 1386801777

MS. MARCIE E KANSOU (LPC)

Mental Health Counselor
2399 E WALTON BLVD
NPI: 1073805818

MS. PAMELA L. TOOSON (MA)

Mental Health Counselor
26184 OUTER DR
NPI: 1487927646

VIRGINIA WEAVER HARRELL

Mental Health Counselor
2925 Russell St
NPI: 1225461957