Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1295882090

Unknown Individual is a healthcare provider. based in Olympia, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CP00005555 (WA). The NPI Number for Unknown Individual is 1295882090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295882090
Phone
(360) 748-6696
Address
1216B 88TH AVE SE
Deactivation Date
15 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1216B 88TH AVE SE

    OLYMPIA, WA 985015714

    Phone: (360) 748-6696

    Fax: (360) 748-0627

    Type: Mailing

  • 135, West Main Street, Chehalis, Lewis County, Washington, 98532, United States

    CHEHALIS, WA 985324817

    Phone: (360) 748-6696

    Fax: (360) 748-0627

    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.

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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 98501)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1295882090 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Addiction (Substance Use Disorder) Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Olympia, Washington for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.