Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1720019128

Unknown Individual is a healthcare provider. based in St cloud, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 301207 (MN). The NPI Number for Unknown Individual is 1720019128

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720019128
Phone
(320) 252-5010
Address
1321 13TH ST N
Deactivation Date
12 June 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

    Type: Mailing

  • 12th Avenue South, Buffalo, Wright County, Minnesota, 55313, United States

    BUFFALO, MN 553132321

    Phone: (763) 682-4400

    Fax: (763) 682-1353

    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.

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 1720019128 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with St Cloud, Minnesota in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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