Unknown Individual – Counselor, NPI 1568574879

Unknown Individual is a healthcare provider. based in Lynnwood, Washington. specializing in Counselor. They hold a License No. RC00020249 (WA). The NPI Number for Unknown Individual is 1568574879

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568574879
Phone
(425) 935-5850
Address
4807 196TH ST SW
Deactivation Date
12 February 2026
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

  • 4807, 196th Street Southwest, Lynnwood, Snohomish County, Washington, 98036, United States

    SUITE 220

    LYNNWOOD, WA 98036

    Phone: (425) 935-5850

    Fax: (425) 835-5855

    Type: Location

  • 1305, North 175th Street, Meridian Park, Shoreline, King County, Washington, 98133, United States

    APT C203

    SHORELINE, WA 981335047

    Phone: (206) 546-9689

    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 98036)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1568574879?
NPI 1568574879 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Lynnwood, Washington as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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