Maxie Lee Knighten

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4131 S State St Ste F
Chicago, IL 60609-2942

Phone

(773) 366-0055

NPI assigned

Mar 8, 2024

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Another Chance Chicago

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1861231144
  NPD
• Another Chance Chicago

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1992532709
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1063270627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9704 S LOWE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281013",
            "telephone_number": "773-366-0055",
            "fax_number": "773-364-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 S STATE ST STE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092942",
            "telephone_number": "773-366-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTEN",
        "first_name": "MAXIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Knight, AGACNP
• Megan M Knight, PA-C
• Myah Knight, LPC
• Taylor Knight
• Eyonna Knighten
• Bridget Mary Knightly, PHARMD
• Paige Anne Knippenberg, PA-C
• Jody Knipper, LMT
• Jonathan Brooks Knisley, MD
• Lauren M Knisley, NP

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.