Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1629199963

Unknown Individual is a healthcare provider. based in Rochester, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for Unknown Individual is 1629199963

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629199963
Phone
(507) 282-6650
Address
215 ELTON HILLS DR NW
Deactivation Date
19 October 2022
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

  • 215 ELTON HILLS DR NW

    #40

    ROCHESTER, MN 559012482

    Phone: (507) 282-6650

    Type: Mailing

  • 343 WOOD LAKE DR. SE

    ROCHESTER, MN 55904

    Phone: (507) 535-5759

    Fax: (507) 289-2327

    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 ·

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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 ·

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 55901)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1629199963 — is the standard way to identify this listing.
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 Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Rochester, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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