Brett Knutson, SAC-IT, PC-T

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5317-125 Issued in WI

Practice address

444 Main St
Suite 301
La Crosse, WI 54601-3261

Phone

(608) 386-6154

NPI assigned

Jun 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Driftless Recovery Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
  • NPI 1407271695

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1093001703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013261",
            "telephone_number": "608-386-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013261",
            "telephone_number": "608-386-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "BRETT",
        "credential": "SAC-IT, PC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16304-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5317-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiko Leigh Knothe
• Cassandra Knott, MD
• Darren Knox, M.D.
• Samantha Mae Knox
• Lisa Elizabeth Knudtson, NP
• Taylor Ann Knutson, NP
• Alexandra Catherine Kobe, DDS
• Jennifer Koch, CNP
• Danica Ann Kocimski, NP
• Katelyn Elizabeth Koehler, PT, DPT

• Professional Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.