Individual provider Active NPI

Denniesha Andrene Knight

  • Mental Health Counselor
  • College Park, GA
National Provider Identifier
1013532118
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC011684 Issued in GA
Practice address
5534 Old National Hwy Ste 150
College Park, GA 30349-3274
Phone
(470) 334-8917
Fax
(404) 529-4473
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC011684 GA Primary

Addresses

Primary practice location

5534 Old National Hwy Ste 150
College Park, GA 30349-3274

Mailing address

5534 Old National Hwy Ste 150
College Park, GA 30349-3274
Phone (703) 348-9174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC011684GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Focused Family Therapy CurrentSince Sep 8, 2024 Accepting new patients

Locations

5534 Old National Hwy
Ste 150
College Park, GA 30349
Phone (470) 334-8917

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1013532118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 OLD NATIONAL HWY STE 150",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493274",
            "telephone_number": "703-348-9174",
            "fax_number": "404-529-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 OLD NATIONAL HWY STE 150",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493274",
            "telephone_number": "470-334-8917",
            "fax_number": "404-529-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DENNIESHA",
        "middle_name": "ANDRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.