Unknown Individual – Mental Health Counselor, NPI 1619052263

Unknown Individual is a healthcare provider. based in Yakima, Washington. specializing in Mental Health Counselor. They hold a License No. 4889 (WA). The NPI Number for Unknown Individual is 1619052263

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619052263
Phone
(509) 966-7246
Address
1015 S 40TH AVE
Deactivation Date
21 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099667246
Graduation Year
2006 (20 years ago)
PAC ID
5395805584
Group Practice PAC ID
1052471240
Professional Enrollment ID
I20081118000514
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

Loading map...

Provider Addresses for Unknown Individual

  • 1015, 40th Avenue, Yakima, Yakima County, Washington, 98908, United States

    SUITE 23

    YAKIMA, WA 989083806

    Phone: (509) 966-7246

    Fax: (509) 966-5731

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 98908)

Loading plans...

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: 1052471240View full group profile
NameSpecialtyState
-WA
Mental Health CounselorWA
Clinical Social WorkerWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1619052263 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Yakima, Washington for Unknown Individual; download NPPES for the complete set.
What if Yakima, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

Yakima Post Office, West Washington Avenue, Yakima, Yakima County, Washington, 98903, United States
NPI: 1881666352

TERENCE L WALKER (ARNP)

Psychiatric/Mental Health Nurse Practitioner
Yakima Post Office, West Washington Avenue, Yakima, Yakima County, Washington, 98903, United States
NPI: 1467428235

MS. TERRI ALLEN (M.S., LMHC)

Mental Health Counselor
440, Breaum Road, Gleed, Yakima County, Washington, 98908, United States
NPI: 1376508747

MRS. SHAUNNA HARDING (LMHC)

Mental Health Counselor
1401, Conrad Avenue, Yakima, Yakima County, Washington, 98902, United States
NPI: 1326003203

MRS. JENNIFER ANNE LAURVICK (LMHC)

Mental Health Counselor
415, South 44th Street, Terrace Heights, Yakima County, Washington, 98901, United States
NPI: 1275599110
321 CHUCKARUT LN
NPI: 1942266770

BEV ROWLAND (M.ED)

Mental Health Counselor
171 SOLE RD
NPI: 1285690172

MR. RICKY RAMERO RANGEL (MSW,CDP)

Mental Health Counselor
1809, Grant Street, Yakima, Yakima County, Washington, 98902, United States
NPI: 1407812266

MR. KENNETH RAY DORAIS (M.ED.)

Mental Health Counselor
PO BOX 190
NPI: 1982660775