Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1023115359

Addiction (Substance Use Disorder) Counselor

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CP00001669 (WA). The NPI Number for Unknown Individual is 1023115359

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1023115359

Phone

(253) 582-8440

Address

9800 VETERANS DR.

Deactivation Date

15 May 2024

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

Tacoma Java Co., Veterans Memorial Drive East, Bonney Lake, Pierce County, Washington, 98391, United States
BLD. 61C RM. 317
TACOMA, WA 984395000
Phone: (253) 582-8440
Fax: (253) 589-4136
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 98439)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1023115359 in the public NPI dataset.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

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.

Where should I expect Unknown Individual on a map?

Expect Tacoma, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.