Unknown Individual – Counselor, NPI 1770692980

Unknown Individual is a healthcare provider. based in Canton, Ohio. specializing in Counselor. They hold a License No. E0004375 (OH). The NPI Number for Unknown Individual is 1770692980

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770692980
Phone
(330) 454-9407
Address
832 MCKINLEY AVE NW
Deactivation Date
28 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

  • 832, McKinley Avenue Northwest, Upper Downtown Canton Historic District, Canton, Stark County, Ohio, 44703, United States

    CANTON, OH 447032463

    Phone: (330) 454-9407

    Fax: (330) 454-4357

    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 44703)

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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 1770692980; 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.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Canton, Ohio for Unknown Individual; expand the address list for detail.
What if Canton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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THELMA COSS

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215 FLYNN AVE
NPI: 1679669493