Brett Knott Jr., LICDC-CS, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

111-060-CS Issued in OH

Practice address

12888 Grey St
Logan, OH 43138-9638

Phone

(740) 517-9272

NPI assigned

Nov 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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

• Crest Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Athens, OH
  • NPI 1295250736

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1578993457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 GRASS RUN",
            "city": "NEW MARSHFIELD",
            "state": "OH",
            "postal_code": "457669727",
            "telephone_number": "740-517-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12888 GREY ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389638",
            "telephone_number": "740-517-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "BRETT",
        "name_suffix": "Jr.",
        "credential": "LICDC-CS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "111-060-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Kirk
• Leeann Kline, RPH TECH
• Emily Klucar
• Beth Kluding, QMHS
• David Knight
• Lucinda Kraft
• Rose M Krouse, LISW
• Shivaprakash T Kudlapur, MD
• Taylor A Kusic, LISW
• Amy Laird

• All providers in Logan, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.