Unknown Individual – Mental Health Counselor, NPI 1710035811

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Mental Health Counselor. They hold a License No. 2902216004 (UT). The NPI Number for Unknown Individual is 1710035811

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710035811
Phone
(801) 347-4675
Address
860 E 4500 S
Deactivation Date
26 January 2021
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

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Provider Addresses for Unknown Individual

  • 860, 4500 South, Millcreek, Salt Lake County, Utah, 84107, United States

    SUITE 202

    SALT LAKE CITY, UT 841073002

    Phone: (801) 347-4675

    Type: Location

  • Midvale Post Office, 35, Center Street, Midvale, Salt Lake County, Utah, 84047, United States

    MIDVALE, UT 840479088

    Phone: (801) 347-4675

    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.

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 84107)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1710035811 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Mental Health Counselor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Salt Lake City, Utah as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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