Unknown Individual – Professional Counselor, NPI 1124452313

Unknown Individual is a healthcare provider. based in Passaic, New Jersey. specializing in Professional Counselor. They hold a License No. 37PC00382000 (NJ). The NPI Number for Unknown Individual is 1124452313

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124452313
Phone
(973) 216-2529
Address
228 GREGORY AVE
Deactivation Date
29 March 2022
Data current as of
20 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

  • 228 GREGORY AVE

    PASSAIC, NJ 070553859

    Phone: (973) 216-2529

    Fax: (973) 778-5411

    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 07055)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1124452313 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 Professional Counselor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in New Jersey?
You will see Passaic, New Jersey on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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