Unknown Individual – Mental Health Counselor, NPI 1962511584

Unknown Individual is a healthcare provider. based in Elyria, Ohio. specializing in Mental Health Counselor. They hold a License No. E3419 (). The NPI Number for Unknown Individual is 1962511584

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962511584
Phone
(440) 986-2600
Address
9080 LEAVITT RD
Deactivation Date
26 October 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

Provider Addresses for Unknown Individual

  • 9080 LEAVITT RD

    ELYRIA, OH 44035

    Phone: (440) 986-2600

    Fax: (419) 986-2603

    Type: Location

  • 259, Sandusky Street, Ashland, Milton Township, Ashland County, Ohio, 44805, United States

    ASHLAND, OH 44805

    Phone: (419) 289-1876

    Fax: (419) 281-6430

    Type: Mailing

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 44035)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1962511584 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Elyria, Ohio as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.