Active NPI
Corinne R Kneis, LCPC
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1124665674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC12746
- Practice address
- 314 S 46TH St Apt B201
Philadelphia, PA 19143 - Phone
- (410) 302-4038
- NPI assigned
- Dec 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP9987 | MD | |
| Mental Health Counselor | 101YM0800X | LC12746 | MD | Primary |
Addresses
Primary practice location
314 S 46TH St Apt B201
Philadelphia, PA 19143
Mailing address
2131 York Rd # 1003
Timonium, MD 21093-3110
Phone (410) 302-4038
Other practice location 1
1110 Benfield Blvd Ste J
Millersville, MD 21108-2645
Phone (410) 987-2031
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 |
|---|---|---|---|
| LC12746 | MD | MD | Mental Health Counselor |
| LGP9987 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1124665674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 YORK RD # 1003",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933110",
"telephone_number": "410-302-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S 46TH ST APT B201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19143",
"telephone_number": "410-302-4038"
}
],
"practiceLocations": [
{
"address_1": "1110 Benfield Blvd Ste J",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "MD",
"postal_code": "211082645",
"country_code": "US",
"telephone_number": "410-987-2031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNEIS",
"first_name": "CORINNE",
"middle_name": "R",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2023-07-10",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP9987",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC12746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.