Unknown Individual – Counselor, NPI 1205087459

Unknown Individual is a healthcare provider. based in North bend, Oregon. specializing in Counselor. They hold a License No. 24867 (OR). The NPI Number for Unknown Individual is 1205087459

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205087459
Phone
(541) 521-7153
Address
PO BOX 1056
Deactivation Date
30 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:0State licenses:6Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 1056

    486 SCHETTER AV COOS BAY OR 974203366 (NO MAIL)

    NORTH BEND, OR 974590003

    Phone: (541) 521-7153

    Type: Mailing

  • 486, Schetter Avenue, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 974203366

    Phone: (541) 521-7153

    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.

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 97459)

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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 1205087459.
What dates should I check for Unknown Individual's activity?
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 Counselor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to North Bend, Oregon in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.