Unknown Individual – Professional Counselor, NPI 1124052683

Unknown Individual is a healthcare provider. based in Yorktown, Virginia. specializing in Professional Counselor. They hold a License No. 0701001885 (VA). The NPI Number for Unknown Individual is 1124052683

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124052683
Phone
(757) 898-9025
Address
7621 GEORGE WASHINGTON MEM HWY STE C
Deactivation Date
15 December 2022
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

Provider Addresses for Unknown Individual

  • 7621 GEORGE WASHINGTON MEM HWY STE C

    YORKTOWN, VA 236924898

    Phone: (757) 898-9025

    Fax: (757) 874-5389

    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.

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 23692)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1124052683.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
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.
Does Unknown Individual practice in Virginia?
You will see Yorktown, Virginia on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.