Roderick Vincent Knowles Jr., BHRS/CASE MANAGER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11632 E 64TH St
Broken Arrow, OK 74012-1369

Phone

(918) 294-3012

NPI assigned

May 8, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1285079889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11632 E 64TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121369",
            "telephone_number": "918-294-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11632 E 64TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121369",
            "telephone_number": "918-294-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "RODERICK",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BHRS/CASE MANAGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Douglas Knapp, P.T.
• KND Development 59, LLC
• Deborah Knight
• Summer Knight
• Amanda Nicole Knittel
• Sarah Michele Koehling
• Roger Olen Kollock Jr., ATC
• Mercades Kolosha, RDMS
• Douglas Scott Kooken II, DDS
• Nidhi Koul, M.D.

• Mental Health Counselor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.