Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1407077142

Addiction (Substance Use Disorder) Counselor

Unknown Individual is a healthcare provider. based in Sunnyside, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CP00002378 (WA). The NPI Number for Unknown Individual is 1407077142

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1407077142

Phone

(509) 840-3180

Address

1561 IRVING AVE

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

Provider Addresses for Unknown Individual

1561 IRVING AVE
SUNNYSIDE, WA 989442444
Phone: (509) 840-3180
Type: Mailing
402 W 1ST AVE
TOPPENISH, WA 989481530
Phone: (509) 865-9034
Fax: (509) 865-4297
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.

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 98944)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1407077142 for Unknown Individual, then check state licensing separately.

What dates should I check for Unknown Individual's activity?

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

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Addiction (Substance Use Disorder) Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Sunnyside, Washington; more addresses can appear in NPPES.

Is the information about Unknown Individual up to date?

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