Unknown Individual – Professional Counselor, NPI 1487648903

Unknown Individual is a healthcare provider. based in Roanoke, Virginia. specializing in Professional Counselor. They hold a License No. 0701002428 (VA). The NPI Number for Unknown Individual is 1487648903

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487648903
Phone
(540) 772-8043
Address
4656 BRAMBLETON AVE
Deactivation Date
4 March 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, Mount Vernon Forest, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240183437

    Phone: (540) 772-8043

    Fax: (540) 772-8242

    Type: Mailing

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

    SUITE 500

    SALEM, VA 241534325

    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.

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.

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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 is Unknown Individual's NPI number?
Unknown Individual's NPI is 1487648903 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Roanoke?
Unknown Individual currently maps to Roanoke, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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