Unknown Individual – Professional Counselor, NPI 1215036991

Professional Counselor

Unknown Individual is a healthcare provider. based in Mount vernon, Ohio. specializing in Professional Counselor. They hold a License No. E-0003390 (OH). The NPI Number for Unknown Individual is 1215036991

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1215036991

Phone

(740) 392-5416

Address

102 E GAMBIER ST

Deactivation Date

6 September 2023

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

102, East Gambier Street, North Main-North Gay Streets Historic District, Buckingham Court, Mount Vernon, Knox County, Ohio, 43050, United States
MOUNT VERNON, OH 430503510
Phone: (740) 392-5416
Fax: (740) 392-3742
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 43050)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1215036991 in the public NPI dataset.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Mount Vernon, Ohio; more addresses can appear in NPPES.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.