Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1699880930

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 7320 (TX). The NPI Number for Unknown Individual is 1699880930

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699880930
Phone
(817) 534-0814
Address
2701 BURCHILL RD N
Deactivation Date
31 January 2022
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

  • 2701, Burchill Road, Fort Worth, Tarrant County, Texas, 76105, United States

    FORT WORTH, TX 761053012

    Phone: (817) 534-0814

    Fax: (817) 536-1556

    Mailing address matches the actual address.

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 76105)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1699880930; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Fort Worth, Texas for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1699880930. Always confirm identity and privileges with the practice and licensing boards.