Unknown Individual – Mental Health Counselor, NPI 1710082979

Unknown Individual is a healthcare provider. based in Clackamas, Oregon. specializing in Mental Health Counselor. They hold a License No. OR C0220 (OR). The NPI Number for Unknown Individual is 1710082979

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710082979
Phone
(503) 653-3451
Address
10163 SE SUNNYSIDE RD STE 490
Deactivation Date
23 October 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

  • Southeast Sunnyside Road, Happy Valley, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970155720

    Phone: (503) 653-3451

    Type: Location

  • 4454, Northeast Mason Street, Beaumont-Wilshire, Portland, Multnomah County, Oregon, 97218, United States

    PORTLAND, OR 972181739

    Phone: (503) 254-7996

    Type: Mailing

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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1710082979 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Clackamas, Oregon.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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