Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1477544500

Unknown Individual is a healthcare provider. based in Oneida, Wisconsin. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 10774-132 (WI). The NPI Number for Unknown Individual is 1477544500

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477544500
Phone
(920) 869-2711
Address
525 AIRPORT DR
Deactivation Date
15 November 2023
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

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Provider Addresses for Unknown Individual

  • 525, Airport Drive, Oneida, Hobart, Brown County, Wisconsin, 54155, United States

    ONEIDA, WI 541559035

    Phone: (920) 869-2711

    Mailing address matches the actual address.

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 54155)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1477544500 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Addiction (Substance Use Disorder) Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Oneida, Wisconsin because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1477544500. Always confirm identity and privileges with the practice and licensing boards.

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