Unknown Individual – Professional Counselor, NPI 1417020116

Unknown Individual is a healthcare provider. based in Wooster, Ohio. specializing in Professional Counselor. They hold a License No. E-0001594 (OH). The NPI Number for Unknown Individual is 1417020116

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417020116
Phone
(330) 264-9029
Address
2285 BENDEN DR
Deactivation Date
2 October 2025
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

  • 2285, Benden Drive, Wooster, Wayne County, Ohio, 44691, United States

    WOOSTER, OH 446912568

    Phone: (330) 264-9029

    Fax: (330) 263-7251

    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.

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Medicare Enrollment & Revalidation

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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 44691)

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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 1417020116; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Professional Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Wooster, Ohio because that is what the record indicates for Unknown Individual.
What if Wooster, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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