Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1972699023

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 4174 (TX). The NPI Number for Unknown Individual is 1972699023

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972699023
Phone
(361) 779-8628
Address
5926 S STAPLES ST
Deactivation Date
25 October 2021
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

  • 5926, South Staples Street, South Side, Corpus Christi, Nueces County, Texas, 78413, United States

    SUUTE D-9

    CORPUS CHRISTI, TX 784133843

    Phone: (361) 779-8628

    Fax: (361) 992-6835

    Type: Location

  • 4314, Crested Butte Drive, Corpus Christi, Nueces County, Texas, 78413, United States

    CORPUS CHRISTI, TX 784134417

    Phone: (361) 779-8628

    Fax: (361) 992-6835

    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 78413)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1972699023 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Corpus Christi, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.