Unknown Individual – Mental Health Counselor, NPI 1093920316

Unknown Individual is a healthcare provider. based in Heavener, Oklahoma. specializing in Mental Health Counselor. They hold a License No. R0083820 (OK). The NPI Number for Unknown Individual is 1093920316

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093920316
Phone
(918) 653-7450
Address
511 E 2ND ST
Deactivation Date
19 June 2025
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

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Provider Addresses for Unknown Individual

  • 511, East 2nd Street, Heavener, Le Flore County, Oklahoma, 74937, United States

    HEAVENER, OK 749373419

    Phone: (918) 653-7450

    Fax: (918) 653-7279

    Type: Location

  • PO BOX 113

    WHITESBORO, OK 745770113

    Phone: (918) 653-7718

    Fax: (918) 653-7279

    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.

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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 74937)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1093920316?
NPI 1093920316 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is Unknown Individual registered?
Use Heavener, Oklahoma as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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