Unknown Individual – Mental Health Counselor, NPI 1265769418

Unknown Individual is a healthcare provider. based in St. paul, Minnesota. specializing in Mental Health Counselor. They hold a License No. 301739 (MN). The NPI Number for Unknown Individual is 1265769418

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265769418
Phone
(651) 646-8985
Address
1360 ENERGY PARK DRIVE SUITE 340
Deactivation Date
6 December 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1360 ENERGY PARK DRIVE SUITE 340

    ST. PAUL, MN 55108

    Phone: (651) 646-8985

    Fax: (651) 646-3959

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55108)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1265769418 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Minnesota?
You will see St. Paul, Minnesota on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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