Unknown Individual – Mental Health Counselor, NPI 1770630899

Unknown Individual is a healthcare provider. based in Dallas, Oregon. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1770630899

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770630899
Phone
Not provided
Address
2270 SE LAURA LN
Deactivation Date
31 January 2022
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

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Provider Addresses for Unknown Individual

  • Laura Lane, Dallas, Dallas County, Texas, 75241, United States

    DALLAS, OR 973389721

    Phone:

    Type: Mailing

  • Oak Street Southeast, Salem, Marion County, Oregon, 97311, United States

    SALEM, OR 973014018

    Phone: (503) 585-4949

    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 97338)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1770630899.
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 Dallas, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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