Individual provider Active NPI

Max Lian Knoll, LPC-S

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1164957445
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79836 Issued in TX
Practice address
6333 De Zavala Rd
San Antonio, TX 78249-2115
Phone
(210) 307-5162
NPI assigned
Apr 25, 2017
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79836 TX
Professional Counselor 101YP2500X 79836 TX Primary

Addresses

Primary practice location

6333 De Zavala Rd
San Antonio, TX 78249-2115

Mailing address

6333 De Zavala Rd
San Antonio, TX 78249-2115
Phone (210) 307-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223002209 TX Practitioner - Mental Health Counselor 2961939491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavors Health Services BoardGroup PAC ID 4587001987, 9 clinicians

Practice addresses (Care Compare)

6333 De Zavala Rd
Suite A241
San Antonio, TX 78249-2115
Phone (210) 866-3860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavors Health Services Board Professional CurrentSince Dec 1, 2024 Accepting new patients

Locations

2211 S Interstate 35
Ste 305
Austin, TX 78741
Phone (210) 431-6466

6333 De Zavala Rd
Ste A241
San Antonio, TX 78249
Phone (210) 431-6466

2402 E Main St
Uvalde, TX 78801
Phone (210) 322-6829

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1164957445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492115",
            "telephone_number": "210-307-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492115",
            "telephone_number": "210-307-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "MAX",
        "middle_name": "LIAN",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79836",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.