Unknown Individual – Mental Health Counselor, NPI 1275589483

Unknown Individual is a healthcare provider. based in Kent, Ohio. specializing in Mental Health Counselor. They hold a License No. E4258 (OH). The NPI Number for Unknown Individual is 1275589483

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275589483
Phone
(330) 673-3558
Address
205 E SUMMIT ST
Deactivation Date
28 June 2021
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

  • 205, East Summit Street, Gateway, Kent, Portage County, Ohio, 44240, United States

    KENT, OH 442403649

    Phone: (330) 673-3558

    Fax: (330) 673-3558

    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.

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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 44240)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1275589483 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Kent?
Unknown Individual currently maps to Kent, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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