Unknown Individual – Counselor, NPI 1164587143

Unknown Individual is a healthcare provider. based in University place, Washington. specializing in Counselor. They hold a License No. LH00003586 (WA). The NPI Number for Unknown Individual is 1164587143

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164587143
Phone
(253) 884-3385
Address
4109 BRIDGEPORT WAY W
Deactivation Date
27 February 2025
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

  • 4109, Bridgeport Way West, University Place, Pierce County, Washington, 98466, United States

    SUITE B

    UNIVERSITY PLACE, WA 984664328

    Phone: (253) 884-3385

    Fax: (253) 884-3385

    Type: Location

  • PO BOX 826

    LAKEBAY, WA 983490826

    Phone: (253) 884-3385

    Fax: (253) 884-3385

    Type: Mailing

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.

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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 98466)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1164587143?
NPI 1164587143 belongs to Unknown Individual; compare other details if you need extra assurance.
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 Counselor. Clinical services aligned with this taxonomy classification.
Where in Washington is Unknown Individual registered?
Use University Place, Washington as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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