Unknown Individual – Marriage & Family Therapist, NPI 1629051768

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Marriage & Family Therapist. They hold a License No. 0272 (NV). The NPI Number for Unknown Individual is 1629051768

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629051768
Phone
(702) 884-5395
Address
P.O. BOX 36641
Deactivation Date
10 December 2021
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

  • P.O. BOX 36641

    LAS VEGAS, NV 891336641

    Phone: (702) 884-5395

    Fax: (702) 360-1222

    Type: Mailing

  • Rigaletto Street, Bacaro, Desert Shores, Las Vegas, Clark County, Nevada, 89128, United States

    #205

    LAS VEGAS, NV 891280235

    Phone: (702) 884-5395

    Fax: (702) 360-1222

    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.

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 89133)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1629051768 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.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display 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 1629051768. Always confirm identity and privileges with the practice and licensing boards.

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