Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1114063906

Unknown Individual is a healthcare provider. based in Stanwood, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. RC00009749 (WA). The NPI Number for Unknown Individual is 1114063906

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114063906
Phone
(360) 629-3409
Address
2513 256TH ST NW
Deactivation Date
28 June 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

Provider Addresses for Unknown Individual

  • 2513 256TH ST NW

    STANWOOD, WA 982929252

    Phone: (360) 629-3409

    Type: Mailing

  • 509 N WEST AVE STE B

    ARLINGTON, WA 982231298

    Phone: (425) 349-8130

    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.

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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 98292)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1114063906.
Does inactive mean outdated data for Unknown Individual?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.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Stanwood, Washington in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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