Unknown Individual – Mental Health Counselor, NPI 1639107238

Unknown Individual is a healthcare provider. based in Canton, Ohio. specializing in Mental Health Counselor. They hold a License No. E0007382 (OH). The NPI Number for Unknown Individual is 1639107238

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639107238
Phone
(330) 418-4028
Address
1330 31ST ST NE
Deactivation Date
28 June 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

  • 31st Street Northeast, Canton, Stark County, Ohio, 44705, United States

    CANTON, OH 447141503

    Phone: (330) 418-4028

    Fax: (330) 452-4148

    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 44714)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1639107238 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Canton, Ohio on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1639107238. Always confirm identity and privileges with the practice and licensing boards.

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