Unknown Individual – Mental Health Counselor, NPI 1306419395

Unknown Individual is a healthcare provider. based in Eugene, Oregon. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1306419395

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306419395
Phone
(541) 743-2611
Address
1790 W 11th Ave Ste 200
Deactivation Date
15 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1790 W 11th Ave Ste 200

    Eugene, OR 974023871

    Phone: (541) 743-2611

    Type: Location

  • 47712 W 2ND ST

    OAKRIDGE, OR 974639731

    Phone: (541) 337-5416

    Type: Mailing

  • 37875 JASPER LOWELL RD

    JASPER, OR 974389751

    Phone: (541) 747-1235

    Fax: (541) 747-4722

    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

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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 97402)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1306419395 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
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.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Eugene, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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