Unknown Individual – Mental Health Counselor, NPI 1164480034

Unknown Individual is a healthcare provider. based in Grants pass, Oregon. specializing in Mental Health Counselor. They hold a License No. 3252 (OR). The NPI Number for Unknown Individual is 1164480034

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164480034
Phone
(541) 955-9698
Address
PO BOX 5734
Deactivation Date
22 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 5734

    GRANTS PASS, OR 975270734

    Phone: (541) 955-9698

    Fax: (541) 955-9698

    Type: Mailing

  • Northeast 7th Street, Grants Pass, Josephine County, Oregon, 97526, United States

    GRANTS PASS, OR 97526

    Phone: (541) 955-9698

    Fax: (541) 955-9698

    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.

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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 97527)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1164480034.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Mental Health Counselor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Grants Pass, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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