Unknown Individual – Professional Counselor, NPI 1104945468

Unknown Individual is a healthcare provider. based in Austintown, Ohio. specializing in Professional Counselor. They hold a License No. E0002126 (OH). The NPI Number for Unknown Individual is 1104945468

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104945468
Phone
Not provided
Address
1414 MAPLECREST DR
Deactivation Date
8 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1414 MAPLECREST DR

    AUSTINTOWN, OH 445153803

    Phone:

    Type: Mailing

  • 310 CHURCHILL HUBBARD RD

    SUITE A

    YOUNGSTOWN, OH 445051371

    Phone: (330) 759-3040

    Fax: (330) 759-3070

    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 44515)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1104945468; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Austintown, Ohio because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.