Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1972617090

Unknown Individual is a healthcare provider. based in Detroit, Michigan. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 101YA0400X (MI). The NPI Number for Unknown Individual is 1972617090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972617090
Phone
(313) 576-1000
Address
4646 JOHN R ST
Deactivation Date
21 November 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

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Provider Addresses for Unknown Individual

  • John D. Dingell VA Medical Center, 4646, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482011916

    Phone: (313) 576-1000

    Fax: (313) 576-1091

    Type: Location

  • Highnoon Drive, Roseland, Windsor, Southwestern Ontario, Ontario, N9G 3A4, Canada

    WINDSOR, ONTARIO N9G2X2

    Phone: (519) 972-5575

    Type: Mailing

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.

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 48201)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1972617090 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Detroit, Michigan for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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