Individual provider Active NPI

Lavonda Rochelle Knox, LPC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1588995799
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5118 Issued in SC
Practice address
4221 Mayfair St
Myrtle Beach, SC 29577-5757
Phone
(843) 455-0558
Fax
(843) 236-9481
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5118 SC Primary

Addresses

Primary practice location

4221 Mayfair St
Myrtle Beach, SC 29577-5757

Mailing address

4221 Mayfair St
Myrtle Beach, SC 29577-5757
Phone (843) 455-0558

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
5118SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Counseling and Clinical Services, LLC PastSince Oct 10, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1588995799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MAYFAIR ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775757",
            "telephone_number": "843-455-0558",
            "fax_number": "843-236-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MAYFAIR ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775757",
            "telephone_number": "843-455-0558",
            "fax_number": "843-236-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "LAVONDA",
        "middle_name": "ROCHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.