Unknown Individual – Mental Health Counselor, NPI 1336148071

Unknown Individual is a healthcare provider. based in Saint louis, Missouri. specializing in Mental Health Counselor. They hold a License No. 002477 (MO). The NPI Number for Unknown Individual is 1336148071

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336148071
Phone
(314) 569-1717
Address
763 S NEW BALLAS RD
Deactivation Date
31 July 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

  • 763, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 110

    SAINT LOUIS, MO 631418704

    Phone: (314) 569-1717

    Fax: (314) 569-0441

    Type: Location

  • 5000, Cedar Plaza Parkway, Saint Louis County, Missouri, 63128, United States

    STE 350

    SAINT LOUIS, MO 631283441

    Phone: (314) 843-4333

    Fax: (314) 843-4856

    Type: Mailing

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 63141)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1336148071 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Saint Louis, Missouri.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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