Unknown Individual – Mental Health Counselor, NPI 1629302674

Unknown Individual is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1629302674

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629302674
Phone
(918) 708-3006
Address
1323 W KEETOOWAH ST
Deactivation Date
13 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1323, West Keetoowah Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744643462

    Phone: (918) 708-3006

    Fax: (918) 777-9016

    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.

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 74464)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1629302674.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Tahlequah, Oklahoma as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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