Individual provider Active NPI

Bruce Knight, LPCA, LMFTA

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1346624749
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A11717 Issued in NC
Practice address
8029 Corporate Center Dr
Charlotte, NC 28226-4547
Phone
(704) 733-9700
Fax
(704) 733-9298
NPI assigned
Jul 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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 A11717 NC Primary

Addresses

Primary practice location

8029 Corporate Center Dr
Charlotte, NC 28226-4547

Mailing address

8029 Corporate Center Dr
Charlotte, NC 28226-4547
Phone (704) 733-9700

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
A11717NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1346624749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 CORPORATE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264547",
            "telephone_number": "704-733-9700",
            "fax_number": "704-733-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 CORPORATE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264547",
            "telephone_number": "704-733-9700",
            "fax_number": "704-733-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LPCA, LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.