Unknown Individual – Professional Counselor, NPI 1710412838

Unknown Individual is a healthcare provider. based in Jacksonville, Texas. specializing in Professional Counselor. They hold a License No. 72807 (TX). The NPI Number for Unknown Individual is 1710412838

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710412838
Phone
(903) 589-9000
Address
1011 COLLEGE AVE
Deactivation Date
13 March 2025
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

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Provider Addresses for Unknown Individual

  • 1011, College Avenue, Jacksonville, Cherokee County, Texas, 75766, United States

    JACKSONVILLE, TX 757663307

    Phone: (903) 589-9000

    Fax: (903) 586-4234

    Type: Mailing

  • 5872 OLD JACKSONVILLE HWY APT 825

    TYLER, TX 757030621

    Phone: (903) 245-1292

    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 ·

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 75766)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1710412838 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Jacksonville, Texas for Unknown Individual; download NPPES for the complete set.
What if Jacksonville, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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