Active NPI
Richard McKnight, LPC
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1023269883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4098-125
- Practice address
- 20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800 - Phone
- (262) 782-1474
- Fax
- (262) 782-1441
- NPI assigned
- Oct 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4098-125 | WI | Primary |
Addresses
Primary practice location
20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800
Mailing address
20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800
Phone (262) 782-1474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800
Phone (262) 782-1474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4098-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Resources, Inc. | Professional | Current | Accepting new patients |
Locations
20700 Watertown Rd
Ste 102
Waukesha, WI 53186
Phone (262) 782-1474
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": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1023269883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20700 WATERTOWN RD",
"address_2": "SUITE 102",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861800",
"telephone_number": "262-782-1474",
"fax_number": "262-782-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 WATERTOWN RD",
"address_2": "SUITE 102",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861800",
"telephone_number": "262-782-1474",
"fax_number": "262-782-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "RICHARD",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4098-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.