Unknown Individual – Community/Behavioral Health Agency, NPI 1508044843

Unknown Individual is a healthcare provider. based in Fredericksburg, Virginia. specializing in Community/Behavioral Health Agency. They hold a License No. 158-03-002 (VA). The NPI Number for Unknown Individual is 1508044843

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508044843
Phone
(540) 710-6085
Address
10304 SPOTSYLVANIA AVE
Deactivation Date
10 September 2025
Data current as of
20 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

    3RD FLOOR

    FREDERICKSBURG, VA 224088602

    Phone: (540) 710-6085

    Fax: (540) 710-6447

    Type: Mailing

  • Cheryl Gowin, 1406, South Main Street, Main Street Plaza, Farmville, Prince Edward County, Virginia, 23901, United States

    FARMVILLE, VA 239012532

    Phone: (434) 392-3328

    Fax: (434) 392-3235

    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

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1508044843 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Fredericksburg, Virginia; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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