Unknown Individual – Mental Health Counselor, NPI 1649247263

Unknown Individual is a healthcare provider. based in Vancouver, Washington. specializing in Mental Health Counselor. They hold a License No. LH 00004077 (WA). The NPI Number for Unknown Individual is 1649247263

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649247263
Phone
(360) 699-4891
Address
400 E EVERGREEN BLVD
Deactivation Date
12 July 2023
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

  • Providence Academy, 400, East Evergreen Boulevard, Officers Row, Vancouver, Clark County, Washington, 98660, United States

    SUITE 219A

    VANCOUVER, WA 986603264

    Phone: (360) 699-4891

    Fax: (360) 695-0799

    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 98660)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1649247263.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Vancouver, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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