Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1184775058

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 482 (TX). The NPI Number for Unknown Individual is 1184775058

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184775058
Phone
(512) 347-9777
Address
12900 PARTRIDGE BEND DR
Deactivation Date
15 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 12900, Partridge Bend Drive, Rattan Creek, Jollyville, Austin, Williamson County, Texas, 78729, United States

    AUSTIN, TX 787297386

    Phone: (512) 347-9777

    Fax: (512) 347-9778

    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 78729)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1184775058 as the unique 10-digit identifier.
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.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Austin, Texas.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.