Unknown Individual – Professional Counselor, NPI 1164550539

Unknown Individual is a healthcare provider. based in Saint clair shores, Michigan. specializing in Professional Counselor. They hold a License No. 6401003069 (MI). The NPI Number for Unknown Individual is 1164550539

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164550539
Phone
(586) 779-4540
Address
22838 POPLAR BEACH DR
Deactivation Date
29 March 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

Provider Addresses for Unknown Individual

  • 22838 POPLAR BEACH DR

    SAINT CLAIR SHORES, MI 480811320

    Phone: (586) 779-4540

    Type: Mailing

  • 25401 HARPER AVE

    SAINT CLAIR SHORES, MI 480812240

    Phone: (586) 466-6912

    Fax: (586) 466-6961

    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 48081)

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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 1164550539 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Saint Clair Shores, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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