Individual provider Active NPI

Teranda Michell Knight, MS, LCAS-A

  • Community/Behavioral Health Agency
  • Whitakers, NC
National Provider Identifier
1083255137
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
25175NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Burliness Alliance LLC Community/Behavioral Health CurrentSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.