Unknown Individual – Counselor, NPI 1104162510

Unknown Individual is a healthcare provider. based in Yellow springs, Ohio. specializing in Counselor. The NPI Number for Unknown Individual is 1104162510

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104162510
Phone
(937) 767-7028
Address
375 W CENTER COLLEGE ST
Deactivation Date
8 May 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 375 W CENTER COLLEGE ST

    APT. # 141

    YELLOW SPRINGS, OH 453871459

    Phone: (937) 767-7028

    Type: Mailing

  • 2745 S SMITHVILLE RD

    DAYTON, OH 454202668

    Phone: (937) 252-0100

    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.

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45387)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1104162510 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Yellow Springs, Ohio as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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