Unknown Individual – Mental Health Counselor, NPI 1366485401

Unknown Individual is a healthcare provider. based in Mabank, Texas. specializing in Mental Health Counselor. They hold a License No. 17662 (TX). The NPI Number for Unknown Individual is 1366485401

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366485401
Phone
(832) 778-6100
Address
7001 PORTHVILLE DR
Deactivation Date
31 May 2023
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

  • 7001 PORTHVILLE DR

    MABANK, TX 751567157

    Phone: (832) 778-6100

    Fax: (832) 778-6102

    Type: Mailing

  • 220 Oak Forrest Dr

    Angleton, TX 775157444

    Phone: (832) 778-6100

    Fax: (832) 778-6102

    Type: Location

  • South Palestine Street, Athens, Henderson County, Texas, 75751, United States

    ATHENS, TX 75751

    Phone: (903) 675-9570

    Fax: (903) 675-9577

    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.

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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 75156)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1366485401.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Mabank, Texas in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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