Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1538220843

Unknown Individual is a healthcare provider. based in Marshall, Texas. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. LCDC6440 (TX). The NPI Number for Unknown Individual is 1538220843

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1538220843
Phone
(903) 452-8419
Address
110 S BOLIVAR ST
Deactivation Date
4 September 2024
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

  • 110, South Bolivar Street, Marshall, Harrison County, Texas, 75670, United States

    SUITE 212

    MARSHALL, TX 756704178

    Phone: (903) 452-8419

    Type: Location

  • 408, Woodcrest Lane, Brookwood Place, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756013841

    Phone: (903) 758-0837

    Fax: (903) 758-0837

    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.

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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 75670)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1538220843 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Marshall, Texas as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.