Unknown Individual – Marriage & Family Therapist, NPI 1710155304

Unknown Individual is a healthcare provider. based in Lake stevens, Washington. specializing in Marriage & Family Therapist. They hold a License No. 6234 (CA). The NPI Number for Unknown Individual is 1710155304

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710155304
Phone
(707) 486-4803
Address
9 S NYDEN FARMS RD
Deactivation Date
9 May 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

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Provider Addresses for Unknown Individual

  • 9, South Nyden Farms Road, West Lake Stevens, Machias, Snohomish County, Washington, 98258, United States

    LAKE STEVENS, WA 982589759

    Phone: (707) 486-4803

    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 98258)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1710155304; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Washington?
You will see Lake Stevens, Washington on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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