Individual provider Active NPI

Debra Kay Knight, LMHP, PC, LADC

  • Professional Counselor
  • Lincoln, NE
National Provider Identifier
1558694414
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1787 Issued in NE
Practice address
600 N Cotner Blvd
Suite 106B
Lincoln, NE 68505-2343
Phone
(402) 540-8650
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 402 NE
Mental Health Counselor 101YM0800X 3564 NE
Professional Counselor 101YP2500X 1787 NE Primary

Addresses

Primary practice location

600 N Cotner Blvd
Suite 106B
Lincoln, NE 68505-2343

Mailing address

20140 NW 98TH St
Valparaiso, NE 68065-8739
Phone (402) 540-8650

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
402NEMDClinical Psychologist
1787NEMDPhysical Therapist
3564NEMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1558694414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20140 NW 98TH ST",
            "city": "VALPARAISO",
            "state": "NE",
            "postal_code": "680658739",
            "telephone_number": "402-540-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "address_2": "SUITE 106B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-540-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "LMHP, PC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "402",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3564",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

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