Active NPI
Lemmie N Knox III, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1093116709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4920
- Practice address
- 847 NE 19TH Ave
Portland, OR 97232 - Phone
- (503) 238-0769
- NPI assigned
- Sep 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0013855 | CO | |
| Mental Health Counselor | 101YM0800X | C4920 | OR | |
| Professional Counselor | 101YP2500X | C4920 | OR | Primary |
Addresses
Primary practice location
847 NE 19TH Ave
Portland, OR 97232
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0013855 | CO | MD | Mental Health Counselor |
| C4920 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1093116709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8459",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972078459",
"telephone_number": "503-238-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "503-238-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "LEMMIE",
"middle_name": "N",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-12",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0013855",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4920",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.