Unknown Individual – Counseling Psychologist, NPI 1497355275

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Counseling Psychologist. The NPI Number for Unknown Individual is 1497355275

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497355275
Phone
(612) 810-7679
Address
3033 E BDE MAKA SKA PKWY APT 201
Deactivation Date
29 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3033 E BDE MAKA SKA PKWY APT 201

    MINNEAPOLIS, MN 554082522

    Phone: (612) 810-7679

    Type: Mailing

  • 150 E TRAVELERS TRL STE G

    BURNSVILLE, MN 553376890

    Phone: (952) 892-8459

    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

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.

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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 55408)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1497355275.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Minneapolis, Minnesota as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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