Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1649576836

Unknown Individual is a healthcare provider. based in Shoreline, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CP0005019 (WA). The NPI Number for Unknown Individual is 1649576836

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649576836
Phone
(206) 440-3161
Address
17517 5TH AVE NE
Deactivation Date
29 September 2022
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

  • 17517 5TH AVE NE

    SHORELINE, WA 981553506

    Phone: (206) 440-3161

    Type: Mailing

  • 547 DAYTON ST

    EDMONDS, WA 980203431

    Phone: (425) 771-5166

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98155)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1649576836 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Shoreline, Washington; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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