Unknown Individual – Counseling Psychologist, NPI 1417047234

Unknown Individual is a healthcare provider. based in Norfolk, Virginia. specializing in Counseling Psychologist. They hold a License No. 0701002158 (VA). The NPI Number for Unknown Individual is 1417047234

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417047234
Phone
(757) 850-9785
Address
4101 GRANBY ST
Deactivation Date
1 January 2026
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

  • 4101, Granby Street, Riverview, Norfolk, Virginia, 23504, United States

    SUITE 301

    NORFOLK, VA 235041117

    Phone: (757) 850-9785

    Fax: (757) 640-0253

    Type: Location

  • 6, Tiller Circle, River Point, Hampton, Virginia, 23669, United States

    HAMPTON, VA 236991015

    Phone: (757) 850-9785

    Fax: (757) 640-0253

    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.

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23504)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1417047234 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Norfolk, Virginia may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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