Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1366563074

Addiction (Substance Use Disorder) Counselor

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 95-10-91 (OR). The NPI Number for Unknown Individual is 1366563074

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1366563074

Phone

(503) 863-1714

Address

1566 WALLACE RD NW APT 140

Deactivation Date

18 September 2024

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

1566 WALLACE RD NW APT 140
SALEM, OR 973042680
Phone: (503) 863-1714
Type: Mailing
3793 RIVER RD N
KEIZER, OR 973034827
Phone: (503) 304-7002
Fax: (503) 304-7049
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.

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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 97304)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1366563074.

What does inactive NPI status mean for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Addiction (Substance Use Disorder) Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Salem, Oregon in registry-derived data.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.