Unknown Individual – Professional Counselor, NPI 1033396502

Unknown Individual is a healthcare provider. based in Jacksonville, Texas. specializing in Professional Counselor. They hold a License No. 8676 (TX). The NPI Number for Unknown Individual is 1033396502

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033396502
Phone
(903) 586-0476
Address
718 HOWARD ST
Deactivation Date
18 October 2023
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

  • 718, Howard Street, Jacksonville, Cherokee County, Texas, 75766, United States

    JACKSONVILLE, TX 757663118

    Phone: (903) 586-0476

    Fax: (903) 586-0476

    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 75766)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1033396502 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Jacksonville, Texas in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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