Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1720064090

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. LPC05876 (TX). The NPI Number for Unknown Individual is 1720064090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720064090
Phone
(806) 743-2898
Address
PO BOX 5865
Deactivation Date
9 May 2022
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

  • Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States

    LUBBOCK, TX 794085865

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Lubbock County, Texas, 79415, United States

    SUITE 1C102

    LUBBOCK, TX 794300002

    Phone: (806) 743-2800

    Fax: (806) 743-1668

    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.

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 79408)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1720064090 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Lubbock, Texas; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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