Individual provider Active NPI

Jay William Knotts, MED LPC

  • Professional Counselor
  • North Augusta, SC
National Provider Identifier
1114918372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4115 Issued in SC
Practice address
625 Georgia Ave
Center for Care and Counseling for the Csra Inc
North Augusta, SC 29841-3703
Phone
(803) 819-8021
Fax
(803) 819-9028
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4115 SC Primary

Addresses

Primary practice location

625 Georgia Ave
Center for Care and Counseling for the Csra Inc
North Augusta, SC 29841-3703

Mailing address

625 Georgia Ave
Center for Care and Counseling for the Csra Inc
North Augusta, SC 29841-3703
Phone (803) 819-8021

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 Education

State licenses

LicenseStateTypeSpecialty
4115SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Care and Counseling for the Csra Inc Professional Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114918372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 GEORGIA AVE",
            "address_2": "CENTER FOR CARE AND COUNSELING FOR THE CSRA INC",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413703",
            "telephone_number": "803-819-8021",
            "fax_number": "803-819-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 GEORGIA AVE",
            "address_2": "CENTER FOR CARE AND COUNSELING FOR THE CSRA INC",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413703",
            "telephone_number": "803-819-8021",
            "fax_number": "803-819-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTTS",
        "first_name": "JAY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MED LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.