Unknown Individual – Mental Health Counselor, NPI 1396819702

Unknown Individual is a healthcare provider. based in Fernley, Nevada. specializing in Mental Health Counselor. They hold a License No. 01429 (NH). The NPI Number for Unknown Individual is 1396819702

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396819702
Phone
(240) 694-5668
Address
133 PRAIRIE LN
Deactivation Date
29 January 2026
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

  • 133 PRAIRIE LN

    FERNLEY, NV 894087583

    Phone: (240) 694-5668

    Type: Location

  • Mira Mesa Office Mall, 10717, Camino Ruiz, Mira Mesa, San Diego, San Diego County, California, 92126, United States

    SUITE 207

    SAN DIEGO, CA 921262360

    Phone: (858) 695-2211

    Fax: (858) 695-3521

    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 89408)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1396819702.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Fernley?
Unknown Individual currently maps to Fernley, Nevada in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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