Christopher Clay Knotts, MA, LCMHC, LCAS
Individual provider Active NPI Professional Counselor · Troy, NC
NPI 1104243617 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1104243617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 10342 (NC)
- Practice address
- 227 N Main St
Troy, NC 27371-3058 - Phone
- (910) 572-3681
- Fax
- (910) 572-5579
- NPI assigned
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Daymark Recovery Services Inc
Practice addresses (Care Compare)
227 N Main St
Troy, NC 27371-3058
Phone (910) 572-3681
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318000270 | NC | Practitioner - Mental Health Counselor | 3971940669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-21612 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 10342 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Professional | Current |
Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
227 N Main St
Troy, NC 27371
Phone (910) 572-3681
Interoperability endpoints
- christopher.knotts.p1@direct.daymarkrecovery.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-21612 | NC | |
| Professional Counselor | 101YP2500X | 10342 | NC | Yes |
Addresses
Primary practice location
227 N Main St
Troy, NC 27371-3058
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1894
Phone (704) 939-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104243617 | Other | NC | HUMANA |
| 19GSU | Other | NC | BCBS |
| 6001137-581 | Other | NC | MAGELLAN |
| 1104243617 | Medicaid | NC |
Other providers in Troy, NC
- Julius B. Henry
- Michael D. Hussey
- Joan D. Evans, D.P.M., P.a.
- Journey Counseling and Consulting
- Journey Counseling and Consulting
- Lane and Associates Xxxvii DDS PA
- Vanna Niccole Lee
- Cheryl Lemonds
- K'Neadee Lester-Jackson
- Heather Nicole Lewellen
All providers in Troy, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.