Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1407883390

Unknown Individual is a healthcare provider. based in St cloud, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 301233 (MN). The NPI Number for Unknown Individual is 1407883390

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407883390
Phone
(320) 252-5010
Address
1321 13TH ST N
Deactivation Date
30 October 2025
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

  • 1321, 13th Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    ST CLOUD, MN 563032614

    Phone: (320) 252-5010

    Fax: (320) 203-1855

    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 56303)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1407883390 for Unknown Individual.
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.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in St Cloud, Minnesota?
For routing, start with St Cloud, Minnesota 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.

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