Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1710076914

Unknown Individual is a healthcare provider. based in Janesville, Wisconsin. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 1696-132 (WI). The NPI Number for Unknown Individual is 1710076914

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710076914
Phone
(608) 755-1475
Address
2640 MILTON AVE
Deactivation Date
12 May 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2640, Milton Avenue, Janesville, Rock County, Wisconsin, 53545, United States

    JANESVILLE, WI 535450231

    Phone: (608) 755-1475

    Fax: (608) 755-1733

    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 53545)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1710076914 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Janesville?
Unknown Individual currently maps to Janesville, Wisconsin in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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