Organization Active NPI

Knight Counseling Clinic, Inc.

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1013073675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0006030 Issued in OH
Legal business name
KNIGHT COUNSELING CLINIC, INC.
Practice address
25901 Emery Rd
#108
Cleveland, OH 44128-5774
Phone
(440) 429-3027
Fax
(216) 291-0681
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Penelope S Knight, L.I.S.W. AND A.C.S.W
Title
Owner
Phone
(216) 291-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I0006030 OH Primary

Addresses

Primary practice location

25901 Emery Rd
#108
Cleveland, OH 44128-5774

Mailing address

4405 Montagano Blvd
South Euclid, OH 44121-3544
Phone (216) 291-0681

National Provider Directory

National Provider Directory

Locations

23360 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (440) 429-3027

23300 Chagrin Blvd
Ste 202
Beachwood, OH 44122
Phone (216) 973-0565

3645 Warrensville Center Rd
#116
Shaker Heights, OH 44122
Phone (440) 429-3037

25901 Emery Rd
Ste 108
Warrensville Heights, OH 44128
Phone (216) 765-7355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013073675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MONTAGANO BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213544",
            "telephone_number": "216-291-0681",
            "fax_number": "216-291-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 EMERY RD",
            "address_2": "#108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285774",
            "telephone_number": "440-429-3027",
            "fax_number": "216-291-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-291-0681",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.I.S.W. AND A.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0006030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.