Unknown Individual – Mental Health Counselor, NPI 1023121480

Unknown Individual is a healthcare provider. based in Port orchard, Washington. specializing in Mental Health Counselor. They hold a License No. LH00006033 (WA). The NPI Number for Unknown Individual is 1023121480

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023121480
Phone
(360) 874-0444
Address
502 HIGH ST
Deactivation Date
7 September 2021
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

  • 502, High Street, Port Orchard, Kitsap County, Washington, 98366, United States

    SUITE 205

    PORT ORCHARD, WA 983664715

    Phone: (360) 874-0444

    Fax: (360) 874-0037

    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 98366)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1023121480.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Port Orchard, Washington?
For routing, start with Port Orchard, Washington for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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