Unknown Individual – Counseling Psychologist, NPI 1588787485

Unknown Individual is a healthcare provider. based in Virginia beach, Virginia. specializing in Counseling Psychologist. They hold a License No. C2505392124 (). The NPI Number for Unknown Individual is 1588787485

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588787485
Phone
(757) 962-0256
Address
PO BOX 65611
Deactivation Date
3 June 2026

Contacts

Other Endpoint
kcrowder784@gmail.com
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:0State licenses:3Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • PO BOX 65611

    VIRGINIA BEACH, VA 234675611

    Phone: (757) 962-0256

    Type: Mailing

  • 3120 MACDONALD RD

    VIRGINIA BEACH, VA 234643400

    Phone: (757) 962-0256

    Type: Location

  • 4776 MANDAN RD

    VIRGINIA BEACH, VA 234623843

    Phone: (980) 401-2420

    Type: Mailing

  • 100 S KELLAM RD

    VIRGINIA BEACH, VA 234623827

    Phone: (757) 389-2562

    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 23467)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1588787485.
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 is Unknown Individual's primary classification?
Counseling Psychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Virginia Beach, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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