Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1043439664

Unknown Individual is a healthcare provider. based in Hartshorne, Oklahoma. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for Unknown Individual is 1043439664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1043439664
Phone
(918) 297-2891
Address
814 CARBON AVE
Deactivation Date
18 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 814 CARBON AVE

    HARTSHORNE, OK 745474224

    Phone: (918) 297-2891

    Type: Mailing

  • 108 S WITTE ST

    POTEAU, OK 749534208

    Phone: (918) 647-3546

    Fax: (918) 647-4003

    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.

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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 ·

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 74547)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1043439664 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
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 address line appears for Unknown Individual?
Unknown Individual's geographic hint is Hartshorne, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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