Unknown Individual – Counselor, NPI 1629145396

Unknown Individual is a healthcare provider. based in Menasha, Wisconsin. specializing in Counselor. They hold a License No. 208 (WI). The NPI Number for Unknown Individual is 1629145396

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629145396
Phone
(920) 720-2300
Address
1095 MIDWAY RD
Deactivation Date
6 December 2023
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

  • 1095, Midway Road, Menasha, Winnebago County, Wisconsin, 54952, United States

    MENASHA, WI 549521115

    Phone: (920) 720-2300

    Type: Location

  • Mitchell F. Lundgaard Post Office, Sherman Place, Appleton, Outagamie County, Wisconsin, 54911, United States

    APPLETON, WI 549128003

    Phone: (920) 996-3298

    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 ·

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 54952)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1629145396 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Menasha, Wisconsin because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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