Active NPI
Elisabeth Louise Brockman-Knight, MA, LPC
- Professional Counselor
- Columbia, MO
National Provider Identifier
1154523835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005025848
- Practice address
- 1000 W Nifong Blvd
Columbia, MO 65203-5615 - Phone
- (888) 403-1071
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005025848 | MO | Primary |
Addresses
Primary practice location
1000 W Nifong Blvd
Columbia, MO 65203-5615
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506201904 | Other | MO | HCY MEDICAID NUMBER |
| 1649269622 | Other | MO | BILLING NPI NUMBER |
| 2005025848 | Other | MO | STATE LICENCE |
| 1538204904 | Other | MO | FACILITY NPI |
| 431004805 | Other | MO | FACILITY TAX ID |
Other names 1
- Elisabeth L Brockman
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005025848 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1154523835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W NIFONG BLVD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035615",
"telephone_number": "888-403-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKMAN-KNIGHT",
"first_name": "ELISABETH",
"middle_name": "LOUISE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005025848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCY MEDICAID NUMBER",
"identifier": "506201904",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING NPI NUMBER",
"identifier": "1649269622",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "2005025848",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI",
"identifier": "1538204904",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY TAX ID",
"identifier": "431004805",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "BROCKMAN",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.