Active NPI
Melisha Victoria Knowlden, L.C.S.W.
- Counselor
- Evansville, IN
National Provider Identifier
1316249105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 34004548A
- Practice address
- 1333 W. Mill Rd
Suite #204
Evansville, IN 47710 - Phone
- (812) 483-2364
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 34004548A | IN | Primary |
Addresses
Primary practice location
1333 W. Mill Rd
Suite #204
Evansville, IN 47710
Mailing address
1133 West Mill Road
Suite 204
Evansville, IN 47710
Phone (812) 483-2364
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34004548A | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1316249105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WEST MILL ROAD",
"address_2": "SUITE 204",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47710",
"telephone_number": "812-483-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W. MILL RD",
"address_2": "SUITE #204",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47710",
"telephone_number": "812-483-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLDEN",
"first_name": "MELISHA",
"middle_name": "VICTORIA",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "34004548A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.