Unknown Individual – Mental Health Counselor, NPI 1932115177

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1932115177

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1932115177
Phone
(541) 858-8170
Address
3587 HEATHROW WAY
Deactivation Date
28 June 2023
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

Provider Addresses for Unknown Individual

  • 3587 HEATHROW WAY

    MEDFORD, OR 975044004

    Phone: (541) 858-8170

    Type: Mailing

  • 12511 SE RAYMOND ST

    PORTLAND, OR 972363931

    Phone: (503) 761-2580

    Fax: (503) 761-2584

    Type: Location

  • 131, Northeast 102nd Avenue, Russellville, Hazelwood, Portland, Multnomah County, Oregon, 97220, United States

    PORTLAND, OR 972204167

    Phone: (503) 253-6754

    Fax: (503) 251-1344

    Type: Location

  • 5250, South Landing Drive, Heron Pointe, South Portland, Portland, Multnomah County, Oregon, 97239, United States

    UNIT 310

    PORTLAND, OR 972395933

    Phone: (503) 805-4852

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 97504)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1932115177 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Medford, Oregon?
If you are local to Medford, Oregon, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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