Unknown Individual – Mental Health Counselor, NPI 1417061789

Unknown Individual is a healthcare provider. based in Logan, Utah. specializing in Mental Health Counselor. They hold a License No. 274716-3902 (UT). The NPI Number for Unknown Individual is 1417061789

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417061789
Phone
(435) 752-1976
Address
965 S 100 W STE 203
Deactivation Date
4 September 2025
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

  • 965 S 100 W STE 203

    LOGAN, UT 843216071

    Phone: (435) 752-1976

    Fax: (435) 755-6707

    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.

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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 84321)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1417061789 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Logan?
Public fields place Unknown Individual around Logan, Utah. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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