Individual provider Active NPI

Carley Knochel, ST

  • Speech-Language Pathologist
  • Ocean Springs, MS
National Provider Identifier
1316706690
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S4956 Issued in MS
Practice address
8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421
Phone
(228) 215-0521
Fax
(228) 215-0619
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S4956 MS Primary

Addresses

Primary practice location

8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421

Mailing address

5703 Gulf Tech Dr
Ocean Springs, MS 39564-8238
Phone (228) 875-5447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329000905 MS Practitioner - Qualified Speech Language Pathologist 1153769989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Therapy LLCGroup PAC ID 8022350727, 12 clinicians

Practice addresses (Care Compare)

8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421
Phone (228) 875-5447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S4956MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Therapy LLC Speech-Language Pathologist CurrentSince Feb 18, 2024 Accepting new patients

Locations

8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740

5703 Gulf Tech Dr
Ocean Springs, MS 39564
Phone (228) 875-5447

Organizations & group practices 1

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1316706690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 GULF TECH DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648238",
            "telephone_number": "228-875-5447",
            "fax_number": "228-875-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644421",
            "telephone_number": "228-215-0521",
            "fax_number": "228-215-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOCHEL",
        "first_name": "CARLEY",
        "credential": "ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.