Unknown Individual – Mental Health Counselor, NPI 1386048700

Unknown Individual is a healthcare provider. based in Vancouver, Washington. specializing in Mental Health Counselor. They hold a License No. LW60579600 (WA). The NPI Number for Unknown Individual is 1386048700

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386048700
Phone
(360) 993-3088
Address
PO BOX 1337
Deactivation Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3609933000
Graduation Year
1979 (47 years ago)
PAC ID
4880999069
Group Practice PAC ID
2860385309
Professional Enrollment ID
I20160225002004
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 1337

    VANCOUVER, WA 986661337

    Phone: (360) 993-3088

    Type: Mailing

  • 6926 NE FOURTH PLAIN BLVD

    VANCOUVER, WA 98661

    Phone: (360) 993-3088

    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.

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 98666)

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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: 2860385309View full group profile
NameSpecialtyState
-WA
Mental Health CounselorWA
-WA
Nurse PractitionerOH
P S Y C H I A T R YWA
Clinical Social WorkerWA
Mental Health CounselorAR
Nurse PractitionerWA
-WA
-WA

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1386048700.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Vancouver, Washington in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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