Unknown Individual – Mental Health Counselor, NPI 1124198650

Unknown Individual is a healthcare provider. based in N las vegas, Nevada. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1124198650

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124198650
Phone
(702) 486-5614
Address
4538 W CRAIG RD
Deactivation Date
20 June 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

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Provider Addresses for Unknown Individual

  • 4538, West Craig Road, North Las Vegas, Clark County, Nevada, 89032, United States

    SUITE 290

    N LAS VEGAS, NV 890322508

    Phone: (702) 486-5614

    Fax: (702) 486-5630

    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.

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 89032)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1124198650; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display N Las Vegas, Nevada because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1124198650. Always confirm identity and privileges with the practice and licensing boards.

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