Unknown Individual – Counseling Psychologist, NPI 1427110667

Unknown Individual is a healthcare provider. based in Mahtomedi, Minnesota. specializing in Counseling Psychologist. They hold a License No. LP0502 (MN). The NPI Number for Unknown Individual is 1427110667

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1427110667
Phone
(651) 483-2522
Address
410 HALLAM AVE S
Deactivation Date
5 February 2026
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

  • 410, Hallam Avenue South, Mahtomedi, Washington County, Minnesota, 55115, United States

    MAHTOMEDI, MN 551152217

    Phone: (651) 483-2522

    Type: Mailing

  • 2233, Hamline Avenue North, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 551135009

    Phone: (651) 483-2522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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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)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Insurance plans in this area (ZIP 55115)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1427110667 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Counseling Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Mahtomedi, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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