Niaza Knowles I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH19289 Issued in FL

Practice address

2062 Polo Gardens Dr Apt 107
Wellington, FL 33414-2008

Phone

(561) 660-0654

NPI assigned

Mar 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Nye Knowles Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clutch Counseling Services LLC

  • Mental Health Counselor
  • Wellington, FL
  • NPI 1386418960
  NPD Authorized official

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1275161978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 POLO GARDENS DR APT 107",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142008",
            "telephone_number": "561-660-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 POLO GARDENS DR APT 107",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142008",
            "telephone_number": "561-660-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "NIAZA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19289",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "IMH19289",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "IMH19289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nye-knowles.clientsecure.me/client_portal/client_accesses/sign_in?forceLogout=true",
            "affiliation": "N",
            "endpointDescription": "Website URL - Client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client portal",
            "address_1": "2062 Polo Gardens Dr Apt 107",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334142008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NYE",
            "last_name": "KNOWLES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Harvey A Klein, PH.D.
• Christine A. Klepp, M.D.
• Eric M Klopman, PA-C
• Courtney Knoblauch, DPT
• Paige Leigh Knorr
• Sarah Knowlton, M.D.
• En Hui Ko, O.D.
• Jennifer Caitlyn Kocher, DMD
• Audrey Koenigsknecht
• Lindsey Plante Kohn, LMFT

• Mental Health Counselor in Wellington, FL
• Providers in Wellington, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.