Unknown Individual – Mental Health Counselor, NPI 1679629943

Unknown Individual is a healthcare provider. based in Longview, Washington. specializing in Mental Health Counselor. They hold a License No. C1925 (OR). The NPI Number for Unknown Individual is 1679629943

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679629943
Phone
(360) 423-4636
Address
181 CROW BUTTE RD
Deactivation Date
2 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 181 CROW BUTTE RD

    LONGVIEW, WA 986329324

    Phone: (360) 423-4636

    Type: Mailing

  • 2330, Northeast Siskiyou Street, Alameda, Portland, Metro, Multnomah County, Oregon, 97212, United States

    PORTLAND, OR 972122471

    Phone: (503) 528-0757

    Fax: (503) 528-0764

    Type: Location

  • 65 N HIGHWAY 101 STE 204

    WARRENTON, OR 971469371

    Phone: (503) 325-5722

    Fax: (503) 861-2043

    Type: Mailing

  • 326 SE MARLIN AVE

    WARRENTON, OR 971469624

    Phone: (503) 325-5722

    Fax: (503) 861-5649

    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.

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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 98632)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1679629943.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Longview, Washington; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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