Terrill McKnight, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP10372 Issued in MD

Practice address

636 Ravenwood Dr
Glen Burnie, MD 21060-7591

Phone

(443) 529-7140

Fax

(443) 767-4453

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Evolve Life Centers Iop LLCGroup PAC ID 6002291051, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolve Life Centers Iop LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, MD
  • NPI 1568123966
  Medicare reassignment Care Compare group NPD
• Still Waters Health Systems LLC

  • Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1376368704
  Medicare reassignment NPD
• Channeling Your Strength

  • Professional Counselor
  • Glen Burnie, MD
  • NPI 1285339168
  NPD Authorized official
• Still Waters Health Systems LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1598580920
  NPD

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1245869148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 VALLEY COUNTRY CT APT A2",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086186",
            "telephone_number": "443-529-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAVENWOOD DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607591",
            "telephone_number": "443-529-7140",
            "fax_number": "443-767-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Slade Ave",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084900",
            "country_code": "US",
            "telephone_number": "443-931-0706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3502 W Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212154749",
            "country_code": "US",
            "telephone_number": "443-529-7140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Slade Ave",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084900",
            "country_code": "US",
            "telephone_number": "443-931-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "TERRILL",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP10372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McIlmoyle, M.D.
• Kathleen A McInerney, CPC-AD
• Megan Elizabeth McKernan, LCSW-C
• Justice Lee McKinney, LMT
• Makeda McKnight
• Chivonne E McKoy, LCSW-C
• Deja McKoy
• Denise Marie McKoy, LCSW-C
• Quintasia D McLane
• Lucas McNally, LMSW-CSC-AD

• Professional Counselor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.