Unknown Individual – Marriage & Family Therapist, NPI 1417916552

Unknown Individual is a healthcare provider. based in Bothell, Washington. specializing in Marriage & Family Therapist. They hold a License No. LH00005886 (WA). The NPI Number for Unknown Individual is 1417916552

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417916552
Phone
(425) 455-2960
Address
10207 NE 183RD STREET
Deactivation Date
29 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • First Lutheran Church, 10207, Northeast 183rd Street, Wayne, Bothell, King County, Washington, 98011, United States

    BOTHELL, WA 98011

    Phone: (425) 455-2960

    Fax: (425) 489-2047

    Mailing address matches the actual address.

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 98011)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1417916552 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Bothell, Washington because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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