Henry H Knight Jr., LMHC

Individual provider Active NPI Mental Health Counselor · West Wareham, MA

NPI 1043408347 · NPPES record last updated Dec 14, 2020

Key facts

NPI
1043408347
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6395 (MA)
Practice address
17 Carver Rd
West Wareham, MA 02576-1226
Phone
(774) 247-0087
Fax
(508) 295-4551
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6395MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Center-South, Inc. Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6395 MA Yes

Addresses

Primary practice location

17 Carver Rd
West Wareham, MA 02576-1226

Mailing address

118 Highland Shores Dr
Wareham, MA 02571-1355
Phone (508) 295-4551

Other practice location 1

6 Plympton St
Middleboro, MA 02346-1602
Phone (508) 947-1901 ext. 9

Other providers in West Wareham, MA

All providers in West Wareham, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.