Unknown Individual – Mental Health Counselor, NPI 1275692550

Unknown Individual is a healthcare provider. based in St. louis, Missouri. specializing in Mental Health Counselor. They hold a License No. 001641 (MO). The NPI Number for Unknown Individual is 1275692550

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275692550
Phone
(314) 427-4355
Address
9434 BRISTOL AVE.
Deactivation Date
29 March 2023
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

  • 9434, Bristol Avenue, Mary Ridge, Breckenridge Hills, Saint Louis County, Missouri, 63114, United States

    ST. LOUIS, MO 63114

    Phone: (314) 427-4355

    Type: Mailing

  • 4158, Lindell Boulevard, Central West End, St. Louis, Missouri, 63108, United States

    ST. LOUIS, MO 63114

    Phone: (314) 652-6004

    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 63114)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1275692550 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is Unknown Individual registered?
Use St. Louis, Missouri as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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