Unknown Individual – Marriage & Family Therapist, NPI 1053316018

Unknown Individual is a healthcare provider. based in Nine mile falls, Washington. specializing in Marriage & Family Therapist. They hold a License No. LF00000855 (WA). The NPI Number for Unknown Individual is 1053316018

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053316018
Phone
(509) 276-6138
Address
5694 JERGENS RD
Deactivation Date
30 January 2022
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

  • 5694 JERGENS RD

    NINE MILE FALLS, WA 990269588

    Phone: (509) 276-6138

    Type: Mailing

  • 1016, North Superior Street, Logan, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 992022059

    Phone: (509) 483-6495

    Fax: (509) 483-1541

    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.

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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 99026)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1053316018 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Nine Mile Falls?
Unknown Individual currently maps to Nine Mile Falls, Washington in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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