Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1720162035

Unknown Individual is a healthcare provider. based in Nampa, Idaho. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 14 (ID). The NPI Number for Unknown Individual is 1720162035

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720162035
Phone
(208) 466-8267
Address
408 22ND AVE S
Deactivation Date
7 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 408, 22nd Avenue South, Nampa, Canyon County, Idaho, 83651, United States

    NAMPA, ID 836515424

    Phone: (208) 466-8267

    Fax: (208) 466-5226

    Type: Location

  • Poplar Street, Nampa, Canyon County, Idaho, 83686, United States

    NAMPA, ID 836512068

    Phone: (208) 412-3046

    Fax: (208) 466-5226

    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.

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.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83651)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1720162035 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Nampa, Idaho; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.