Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1063616183

Unknown Individual is a healthcare provider. based in Ardmore, Oklahoma. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for Unknown Individual is 1063616183

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063616183
Phone
(580) 226-5048
Address
2530 S. COMMERCE
Deactivation Date
18 November 2022
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

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Provider Addresses for Unknown Individual

  • Commerce Street Northeast, Ardmore, Carter County, Oklahoma, 73401, United States

    BLDG. C

    ARDMORE, OK 73401

    Phone: (580) 226-5048

    Fax: (580) 226-3569

    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.

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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 73401)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1063616183 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Ardmore, Oklahoma.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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