Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1740485465

Unknown Individual is a healthcare provider. based in Mangum, Oklahoma. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 10349 (TX). The NPI Number for Unknown Individual is 1740485465

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740485465
Phone
(580) 782-3337
Address
2 WICKERSHAM ST
Deactivation Date
29 September 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

  • 2 WICKERSHAM ST

    MANGUM, OK 735549117

    Phone: (580) 782-3337

    Fax: (580) 782-3338

    Type: Location

  • 702, East Hardy Street, Altus, Jackson County, Oklahoma, 73521, United States

    ALTUS, OK 735213518

    Phone: (580) 301-4334

    Fax: (580) 379-4701

    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

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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 73554)

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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 1740485465.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
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.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Mangum, Oklahoma; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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