Unknown Individual – Marriage & Family Therapist, NPI 1649307463

Unknown Individual is a healthcare provider. based in Woodbridge, Virginia. specializing in Marriage & Family Therapist. They hold a License No. 0701002401 (VA). The NPI Number for Unknown Individual is 1649307463

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649307463
Phone
(703) 494-0876
Address
12489 ROLOK CT
Deactivation Date
19 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 12489 ROLOK CT

    WOODBRIDGE, VA 221921751

    Phone: (703) 494-0876

    Type: Mailing

  • 14904 JEFF DAVIS HWY

    SUITE 411

    WOODBRIDGE, VA 22191

    Phone: (703) 490-1833

    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 22192)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1649307463 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Woodbridge, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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