Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1720590441

Unknown Individual is a healthcare provider. based in Logan, Ohio. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 101061 (OH). The NPI Number for Unknown Individual is 1720590441

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720590441
Phone
(740) 380-1714
Address
12877 GREY ST
Deactivation Date
20 November 2025
Data current as of
20 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

  • 12877, Grey Street, Logan, Hocking County, Ohio, 43138, United States

    LOGAN, OH 431389638

    Phone: (740) 380-1714

    Fax: (740) 380-1755

    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 43138)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1720590441.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Addiction (Substance Use Disorder) Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Logan, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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