Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1124156039

Addiction (Substance Use Disorder) Counselor

Unknown Individual is a healthcare provider. based in Lawton, Oklahoma. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 580 (OK). The NPI Number for Unknown Individual is 1124156039

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1124156039

Phone

(580) 620-6305

Address

2408 NW 52ND ST

Deactivation Date

14 June 2023

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

Provider Addresses for Unknown Individual

2408 NW 52ND ST
APT. I-8
LAWTON, OK 735051437
Phone: (580) 620-6305
Type: Mailing
811 SW B AVE
SUITE B
LAWTON, OK 735013938
Phone: (580) 357-2631
Fax: (580) 357-5696
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.

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 73505)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1124156039 for Unknown Individual, then check state licensing separately.

Is Unknown Individual's NPI deactivated?

The extract indicates Unknown Individual is not in an active NPI state.

What healthcare role does Unknown Individual hold?

Scheduling teams often label Unknown Individual under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.

Does Unknown Individual list a practice location?

Patients near Lawton, Oklahoma may find Unknown Individual in results; validate coverage separately.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.