Unknown Individual – Professional Counselor, NPI 1619054004

Unknown Individual is a healthcare provider. based in Bryan, Texas. specializing in Professional Counselor. They hold a License No. 12305 (TX). The NPI Number for Unknown Individual is 1619054004

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619054004
Phone
(979) 776-9798
Address
3131 E 29TH ST STE F
Deactivation Date
11 January 2022
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

  • 3131 E 29TH ST STE F

    SUITE 101

    BRYAN, TX 778022788

    Phone: (979) 776-9798

    Fax: (979) 774-9770

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 77802)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1619054004 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Bryan, Texas for Unknown Individual based on available NPPES addresses.
What if Bryan, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

SARAH WEI OU-YOUNG (MA, LPC)

Professional Counselor
11942 EUM LANE
NPI: 1760425425

The Counseling Center

Professional Counselor
Broadmoor Drive, Bryan, Brazos County, Texas, 77802, United States
NPI: 1548297609

TAMMERA SUSAN BROWN (MA, LPC)

Mental Health Counselor
Broadmoor Drive, Bryan, Brazos County, Texas, 77802, United States
NPI: 1245267111

MS. JOAN MARIE CLARK (L.P.C.)

Professional Counselor
PO BOX 826
NPI: 1073531125
101, Chestnut Street, Abilene, Taylor County, Texas, 79602, United States
NPI: 1538177621
115, East Royal Street, Bryan, Brazos County, Texas, 77801, United States
NPI: 1073618062

MS. PAMELA M PERLITZ (MS, LPC, LCDC, LMFT)

Addiction (Substance Use Disorder) Counselor
Carter Creek Parkway, Bryan, Brazos County, Texas, 77802, United States
NPI: 1871683136

RABIAH LYNN SHABAZZ-HOUSTON (LPC)

Professional Counselor
1008 IVORY RIDGE DR
NPI: 1427198571

MS. DONNA M. HILBIG (LPC)

Mental Health Counselor
1009, North Earl Rudder Freeway, Boonville, Bryan, Brazos County, Texas, 77802, United States
NPI: 1942342688