Unknown Individual – Counseling Psychologist, NPI 1740343474

Unknown Individual is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Counseling Psychologist. They hold a License No. 465 (OK). The NPI Number for Unknown Individual is 1740343474

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740343474
Phone
(405) 948-8887
Address
4617 N MILLER AVE
Deactivation Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5102010190204
Graduation Year
1984 (42 years ago)
PAC ID
8224296322
Group Practice PAC ID
4486884285
Professional Enrollment ID
I20120221000550
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

  • 4617, North Miller Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    OKLAHOMA CITY, OK 731128238

    Phone: (405) 948-8887

    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 73112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486884285View full group profile
NameSpecialtyState
-TX
Nurse PractitionerCO
Nurse PractitionerTX
Nurse PractitionerNV
Nurse PractitionerTX
-TX
Nurse PractitionerOK
Nurse Practitioner, Certified Clinical Nurse Specialist (Cns)TX
P S Y C H I A T R YTX
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1740343474 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Oklahoma City, Oklahoma as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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