Individual provider Active NPI

Terrence William McKnight, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1295780088
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P9609024 Issued in AR
Practice address
1340 S Waldron Rd
Fort Smith, AR 72903-2556
Phone
(479) 452-5040
Fax
(479) 452-5047
NPI assigned
May 23, 2006
Last updated
Nov 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P9609024 AR Primary

Addresses

Primary practice location

1340 S Waldron Rd
Fort Smith, AR 72903-2556

Mailing address

PO Box 23700
Barling, AR 72923-0700
Phone (479) 452-5040

Other identifiers 3

IdentifierTypeStateIssuer
000285335OtherARUNITED BEHAVIORAL HLTH
06070021700OtherARQUALCHOICE
5T216OtherARBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P9609024ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Behavioral Health Management, LLC PastSince Feb 1, 2012 Accepting new patients
Perspectives Behavioral Health Management, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1295780088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23700",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230700",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032556",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "TERRENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9609024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HLTH",
            "identifier": "000285335",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "06070021700",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5T216",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.