Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1497993075

Unknown Individual is a healthcare provider. based in Sallisaw, Oklahoma. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for Unknown Individual is 1497993075

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497993075
Phone
(918) 775-4646
Address
1515 W CHICKASAW AVE
Deactivation Date
28 January 2022
Data current as of
20 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

  • 1515, West Chickasaw Avenue, Sallisaw, Sequoyah County, Oklahoma, 74955, United States

    SALLISAW, OK 749557201

    Phone: (918) 775-4646

    Type: Location

  • Andrea Lane, Sallisaw, Sequoyah County, Oklahoma, 74955, United States

    SALLISAW, OK 74955

    Phone: (918) 776-9070

    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 74955)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1497993075.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Addiction (Substance Use Disorder) Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Sallisaw, Oklahoma?
If you are local to Sallisaw, Oklahoma, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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