Individual provider Active NPI

Lynn Machelle Knox, LPC

  • Counselor
  • Farmington, MO
National Provider Identifier
1023500600
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2018030495 Issued in MO
Practice address
808 Progress Dr
Farmington, MO 63640-9157
Phone
(573) 756-1969
Fax
(573) 747-1151
NPI assigned
May 31, 2018
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Counselor 101Y00000X 2018030495 MO Primary

Addresses

Primary practice location

808 Progress Dr
Farmington, MO 63640-9157

Mailing address

808 Progress Dr
Farmington, MO 63640-9157
Phone (573) 756-1969

Other practice location 1

555 W Pine St
Farmington, MO 63640-1439
Phone (573) 218-9692

Other practice location 2

219 W Columbia St
Farmington, MO 63640
Phone (573) 756-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214002764 MO Practitioner - Mental Health Counselor 8820405954 Practice locations: Farmington, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018030495MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Horizons Counseling LLC CurrentSince May 29, 2022 Accepting new patients

Locations

808 Progress Dr
Farmington, MO 63640
Phone (573) 631-8799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1023500600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 PROGRESS DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409157",
            "telephone_number": "573-756-1969",
            "fax_number": "573-747-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PROGRESS DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409157",
            "telephone_number": "573-756-1969",
            "fax_number": "573-747-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401439",
            "country_code": "US",
            "telephone_number": "573-218-9692",
            "fax_number": "573-747-1151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 W Columbia St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "63640",
            "country_code": "US",
            "telephone_number": "573-756-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX",
        "first_name": "LYNN",
        "middle_name": "MACHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2018030495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.