Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1922127034

Addiction (Substance Use Disorder) Counselor

Unknown Individual is a healthcare provider. based in Mount vernon, Washington. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. CP00002779 (WA). The NPI Number for Unknown Individual is 1922127034

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1922127034

Phone

(360) 428-4894

Address

1811 S 17TH ST

Deactivation Date

19 August 2022

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

Provider Addresses for Unknown Individual

1811 S 17TH ST
MOUNT VERNON, WA 982745330
Phone: (360) 428-4894
Type: Mailing
2806 DOUGLAS AVE
BELLINGHAM, WA 982256930
Phone: (360) 676-2187
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 98274)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1922127034 when you need to reference Unknown Individual in forms, claims, or directories.

Is Unknown Individual's inactive status permanent?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

Can you summarize Unknown Individual's specialty in plain language?

Clinically, the directory lists Unknown Individual with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Mount Vernon, Washington because that is what the record indicates for Unknown Individual.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.