Unknown Individual – Community/Behavioral Health Agency, NPI 1376910885

Community/Behavioral Health Agency

Unknown Individual is a healthcare provider. based in Longview, Washington. specializing in Community/Behavioral Health Agency. They hold a License No. 60393328 (WA). The NPI Number for Unknown Individual is 1376910885

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1376910885

Phone

(360) 636-3892

Address

1057 12TH AVE

Deactivation Date

15 September 2021

Data current as of

20 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

1057 12TH AVE
LONGVIEW, WA 986322509
Phone: (360) 636-3892
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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 98632)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1376910885 — is the standard way to identify this listing.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What is Unknown Individual's primary classification?

Community/Behavioral Health Agency is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

Does Unknown Individual list a practice location?

Patients near Longview, Washington may find Unknown Individual in results; validate coverage separately.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."