Unknown Individual – Counselor, NPI 1063706729

Unknown Individual is a healthcare provider. based in Odessa, Texas. specializing in Counselor. They hold a License No. 571 (TX). The NPI Number for Unknown Individual is 1063706729

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063706729
Phone
(432) 337-6482
Address
1521 GOLDER AVE
Deactivation Date
18 February 2022
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

Provider Addresses for Unknown Individual

  • 1521 GOLDER AVE

    ODESSA, TX 797612511

    Phone: (432) 337-6482

    Type: Mailing

  • 801 N GRANT AVE

    ODESSA, TX 797614045

    Phone: (432) 580-3700

    Fax: (432) 580-3707

    Type: Location

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 79761)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1063706729 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Odessa, Texas as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.