Unknown Individual – Professional Counselor, NPI 1376588301

Unknown Individual is a healthcare provider. based in Beavercreek, Ohio. specializing in Professional Counselor. They hold a License No. E0002785 (OH). The NPI Number for Unknown Individual is 1376588301

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376588301
Phone
(937) 427-9151
Address
1374 N FAIRFIELD RD
Deactivation Date
30 January 2022
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

  • 1374, North Fairfield Road, Zimmerman, Beavercreek, Greene County, Ohio, 45432, United States

    SUITE B

    BEAVERCREEK, OH 454322676

    Phone: (937) 427-9151

    Fax: (937) 429-9942

    Type: Location

  • 2190, Matrena Drive, Beavercreek, Greene County, Ohio, 45431, United States

    BEAVERCREEK, OH 454313115

    Phone: (937) 427-3460

    Fax: (937) 429-9942

    Type: Mailing

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)

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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 45432)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1376588301 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Professional Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Beavercreek, Ohio for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1376588301. Always confirm identity and privileges with the practice and licensing boards.

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