Unknown Individual – Professional Counselor, NPI 1306958269

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Professional Counselor. They hold a License No. 2021 CONTROL# 204454 (TX). The NPI Number for Unknown Individual is 1306958269

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306958269
Phone
(817) 429-5076
Address
7525 JOHN T WHITE RD
Deactivation Date
8 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

  • 7525, John T White Road, Fort Worth, Tarrant County, Texas, 76120, United States

    FORT WORTH, TX 761203311

    Phone: (817) 429-5076

    Type: Location

  • 245, Sandy Lane, Fort Worth, Tarrant County, Texas, 76112, United States

    FORT WORTH, TX 761201713

    Phone: (817) 429-5076

    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.

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 76120)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1306958269 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Fort Worth, Texas in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.