Unknown Individual – Mental Health Counselor, NPI 1477616894

Unknown Individual is a healthcare provider. based in Sherwood, Oregon. specializing in Mental Health Counselor. They hold a License No. C0295 (OR). The NPI Number for Unknown Individual is 1477616894

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477616894
Phone
(503) 625-3633
Address
15510 SW BELL RD
Deactivation Date
15 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

  • 15510, Southwest Bell Road, Sherwood, Clackamas County, Oregon, 97140, United States

    SUITE B

    SHERWOOD, OR 971409033

    Phone: (503) 625-3633

    Mailing address matches the actual address.

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 97140)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1477616894; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Sherwood, Oregon for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1477616894. Always confirm identity and privileges with the practice and licensing boards.

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