Unknown Individual – Mental Health Counselor, NPI 1053425660

Mental Health Counselor

Unknown Individual is a healthcare provider. based in Fairlawn, Ohio. specializing in Mental Health Counselor. They hold a License No. E2405 (OH). The NPI Number for Unknown Individual is 1053425660

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1053425660

Phone

(330) 670-8090

Address

3632 W MARKET ST

Deactivation Date

8 May 2024

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

3632, West Market Street, Fairlawn, Summit County, Ohio, 44333, United States
STE. 103
FAIRLAWN, OH 443332494
Phone: (330) 670-8090
Fax: (330) 679-8095
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 44333)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1053425660.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.

Can patients visit Unknown Individual in Fairlawn, Ohio?

For routing, start with Fairlawn, Ohio for Unknown Individual, then verify phone and hours locally.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.