Unknown Individual – Professional Counselor, NPI 1487786380

Unknown Individual is a healthcare provider. based in Washington, Missouri. specializing in Professional Counselor. They hold a License No. 2002014138 (MO). The NPI Number for Unknown Individual is 1487786380

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487786380
Phone
(636) 390-2971
Address
475 KRAKOW RIDGE LN
Deactivation Date
17 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

Provider Addresses for Unknown Individual

  • 475 KRAKOW RIDGE LN

    WASHINGTON, MO 630906267

    Phone: (636) 390-2971

    Fax: (636) 390-0597

    Mailing address matches the actual address.

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.

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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 63090)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1487786380 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Professional Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Washington, Missouri because that is what the record indicates for Unknown Individual.
What if Washington, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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