Unknown Individual – Mental Health Counselor, NPI 1710083472

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Mental Health Counselor. They hold a License No. LMHC #3511 (FL). The NPI Number for Unknown Individual is 1710083472

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710083472
Phone
(918) 747-1649
Address
5512 S LEWIS AVE
Deactivation Date
25 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • South Lewis Avenue, Tulsa, Oklahoma, 74136, United States

    SUITE # 8B

    TULSA, OK 741057140

    Phone: (918) 747-1649

    Fax: (918) 749-2774

    Type: Location

  • 9208, North 137th East Avenue, Owasso, Tulsa, Oklahoma, 74055, United States

    OWASSO, OK 740554793

    Phone: (918) 272-8150

    Fax: (918) 749-2774

    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.

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 74105)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1710083472.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Tulsa, Oklahoma because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1710083472. Always confirm identity and privileges with the practice and licensing boards.