Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1689083883

Unknown Individual is a healthcare provider. based in Bryan, Texas. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 12385 (TX). The NPI Number for Unknown Individual is 1689083883

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689083883
Phone
(979) 703-8292
Address
7166 MESCO DR
Deactivation Date
19 March 2026
Data current as of
20 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

  • 7166 MESCO DR

    BRYAN, TX 778086905

    Phone: (979) 703-8292

    Fax: (979) 703-8294

    Type: Mailing

  • 3131 E 29TH ST STE 100

    BRYAN, TX 778022736

    Phone: (979) 703-8292

    Fax: (979) 703-8294

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77808)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1689083883.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads 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 Bryan, Texas.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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