Organization Active NPI

Christine a Knapp Mental Health Counselor PC

  • Mental Health Counselor
  • Mineola, NY
National Provider Identifier
1194598516
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHRISTINE A KNAPP MENTAL HEALTH COUNSELOR PC
Practice address
143 Willis Ave
Mineola, NY 11501-2610
Phone
(516) 739-0727
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Christine Knapp, LMHCNPI 1346602067
Title
Owner
Phone
(516) 739-0727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

143 Willis Ave
Mineola, NY 11501-2610

Mailing address

143 Willis Ave
Mineola, NY 11501-2610
Phone (516) 739-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312001171 NY Part B Supplier - Clinic/Group Practice 6406292507 Receives reassigned benefits from 1 practitioner
Practice locations: Mineola, NY

National Provider Directory

National Provider Directory

Locations

143 Willis Ave
Mineola, NY 11501
Phone (516) 739-0234

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1194598516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012610",
            "telephone_number": "516-739-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012610",
            "telephone_number": "516-739-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A KNAPP MENTAL HEALTH COUNSELOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-739-0727",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.