Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1477610772

Unknown Individual is a healthcare provider. based in Enid, Oklahoma. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 458 (OK). The NPI Number for Unknown Individual is 1477610772

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477610772
Phone
(580) 234-4800
Address
PO BOX 427
Deactivation Date
19 April 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 427

    1231 E. MAINE

    ENID, OK 737020427

    Phone: (580) 234-4800

    Fax: (580) 234-4313

    Type: Mailing

  • 1231 E MAINE AVE

    ENID, OK 737016223

    Phone: (580) 234-4800

    Fax: (580) 234-4313

    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.

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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 73702)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1477610772 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is Unknown Individual registered?
Use Enid, Oklahoma as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.