Unknown Individual – Mental Health Counselor, NPI 1417263138

Unknown Individual is a healthcare provider. based in Midvale, Utah. specializing in Mental Health Counselor. They hold a License No. 4967659-6004 (UT). The NPI Number for Unknown Individual is 1417263138

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417263138
Phone
(801) 984-1717
Address
613 E FORT UNION BLVD STE 104
Deactivation Date
8 May 2024
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

  • 613 E FORT UNION BLVD STE 104

    MIDVALE, UT 840475531

    Phone: (801) 984-1717

    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 84047)

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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 1417263138.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Midvale?
Public fields place Unknown Individual around Midvale, Utah. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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