Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1629052196

Unknown Individual is a healthcare provider. based in Traverse city, Michigan. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 280057 (MI). The NPI Number for Unknown Individual is 1629052196

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629052196
Phone
(231) 922-4880
Address
940 E 8TH ST
Deactivation Date
24 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8th Street, Schultz Trailer Park, Wheaton, Traverse County, Minnesota, 56296, United States

    TRAVERSE CITY, MI 496862762

    Phone: (231) 922-4880

    Fax: (231) 922-4884

    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.

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 49686)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1629052196.
What does inactive NPI status mean 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 Addiction (Substance Use Disorder) Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Traverse City, Michigan?
For routing, start with Traverse City, Michigan for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.