Unknown Individual – Mental Health Counselor, NPI 1629145099

Unknown Individual is a healthcare provider. based in Corvallis, Oregon. specializing in Mental Health Counselor. They hold a License No. L0614 (OR). The NPI Number for Unknown Individual is 1629145099

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629145099
Phone
(541) 224-2889
Address
833 NW BUCHANAN AVE STE 10
Deactivation Date
15 March 2023
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

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Provider Addresses for Unknown Individual

  • Northwest Buchanan Avenue, Corvallis, Benton County, Oregon, 97331, United States

    CORVALLIS, OR 97330

    Phone: (541) 224-2889

    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.

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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 97330)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1629145099 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Corvallis?
Unknown Individual currently maps to Corvallis, Oregon in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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