Unknown Individual – Mental Health Counselor, NPI 1023219516

Unknown Individual is a healthcare provider. based in Minnetonka, Minnesota. specializing in Mental Health Counselor. They hold a License No. 17268 (MN). The NPI Number for Unknown Individual is 1023219516

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023219516
Phone
(763) 546-5797
Address
10201 WAYZATA BLVD
Deactivation Date
12 August 2022
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

  • WayzAta Blvd, Cheshire Lane, Minnetonka, Hennepin County, Minnesota, 55305:55391, United States

    SUITE 350

    MINNETONKA, MN 553055507

    Phone: (763) 546-5797

    Fax: (763) 546-5754

    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 55305)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1023219516.
Who updates status for Unknown Individual?
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.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Minnetonka, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.