Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1386117257

Unknown Individual is a healthcare provider. based in Spring lake park, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 304968 (MN). The NPI Number for Unknown Individual is 1386117257

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386117257
Phone
(763) 283-5051
Address
7766 HIGHWAY 65 NE
Deactivation Date
24 March 2023
Data current as of
20 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

  • 7766 HIGHWAY 65 NE

    SPRING LAKE PARK, MN 554322868

    Phone: (763) 283-5051

    Type: Mailing

  • 1650 Carroll Ave

    Saint Paul, MN 551045227

    Phone: (763) 789-4895

    Type: Location

  • 762 Transfer Rd Ste 21

    Saint Paul, MN 551141489

    Phone: (651) 659-2900

    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

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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 55432)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1386117257?
NPI 1386117257 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Spring Lake Park, Minnesota as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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