Unknown Individual – Community/Behavioral Health Agency, NPI 1366528614

Unknown Individual is a healthcare provider. based in Fredericksburg, Virginia. specializing in Community/Behavioral Health Agency. They hold a License No. 15802029 (VA). The NPI Number for Unknown Individual is 1366528614

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366528614
Phone
(540) 710-6085
Address
10304 SPOTSYLVANIA AVE
Deactivation Date
10 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

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Provider Addresses for Unknown Individual

  • Spotsylvania Avenue, Maryes Heights, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    SUITE 300

    FREDERICKSBURG, VA 224088602

    Phone: (540) 710-6085

    Fax: (540) 710-6419

    Type: Mailing

  • 6533, Peters Creek Road Northwest, Brooklawn, Hollins, Roanoke County, Virginia, 24019, United States

    ROANOKE, VA 240194018

    Phone: (540) 344-7048

    Fax: (540) 934-4716

    Type: Location

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 22408)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1366528614.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Community/Behavioral Health Agency in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Fredericksburg, Virginia in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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