Active NPI
Teranda Michell Knight, MS, LCAS-A
- Community/Behavioral Health Agency
- Whitakers, NC
National Provider Identifier
1083255137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 1857 J P Rd
Whitakers, NC 27891-9189 - Phone
- (252) 969-0752
- Fax
- (252) 937-7157
- NPI assigned
- Sep 30, 2019
- Last updated
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25175 | NC | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1857 J P Rd
Whitakers, NC 27891-9189
Mailing address
1857 J P Rd
Whitakers, NC 27891-9189
Phone (919) 307-9264
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.nctracks.nc.gov/ncmmisPortal/loginAction?flow=PP | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25175 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burliness Alliance LLC | Community/Behavioral Health | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Whitakers, NC
- NPI 1265105274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1083255137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 J P RD",
"city": "WHITAKERS",
"state": "NC",
"postal_code": "278919189",
"telephone_number": "919-307-9264",
"fax_number": "252-303-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 J P RD",
"city": "WHITAKERS",
"state": "NC",
"postal_code": "278919189",
"telephone_number": "252-969-0752",
"fax_number": "252-937-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "TERANDA",
"middle_name": "MICHELL",
"credential": "MS, LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "25175",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.nctracks.nc.gov/ncmmisPortal/loginAction?flow=PP",
"affiliation": "N",
"endpointDescription": "NC Tracks for Medicaid",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "https://www.nctracks.nc.gov/ncmmisPortal/loginAction?flow=PP",
"address_1": "1857 J P Rd",
"city": "Whitakers",
"state": "NC",
"country_code": "US",
"postal_code": "278919189",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whitakers, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.