Unknown Individual – Mental Health Counselor, NPI 1386661023

Unknown Individual is a healthcare provider. based in Roanoke, Virginia. specializing in Mental Health Counselor. They hold a License No. 0701003674 (VA). The NPI Number for Unknown Individual is 1386661023

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386661023
Phone
(540) 772-8242
Address
4656 BRAMBLETON AVE
Deactivation Date
19 August 2022
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

  • 4656, Brambleton Avenue, Brambleton Court, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240183437

    Phone: (540) 772-8242

    Fax: (540) 772-8242

    Type: Mailing

  • 508, East Main Street, Whitefield, Salem, Virginia, 24153, United States

    SUITE 500

    SALEM, VA 241534319

    Phone: (540) 772-8043

    Fax: (540) 772-8242

    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.

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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 24018)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1386661023 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Roanoke, Virginia?
For routing, start with Roanoke, Virginia for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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