Unknown Individual – Mental Health Counselor, NPI 1417043928

Unknown Individual is a healthcare provider. based in Perrysburg, Ohio. specializing in Mental Health Counselor. They hold a License No. E-0000252 (OH). The NPI Number for Unknown Individual is 1417043928

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417043928
Phone
(419) 872-0619
Address
27475 HOLIDAY LN
Deactivation Date
31 May 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

  • 27475, Holiday Lane, Perrysburg, Wood County, Ohio, 43551, United States

    INNERVIEW BEHAVIORAL CARE (MBHC, INC.) SUITE 2

    PERRYSBURG, OH 435513350

    Phone: (419) 872-0619

    Fax: (419) 872-2466

    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 43551)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1417043928 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Perrysburg?
Unknown Individual currently maps to Perrysburg, Ohio in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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