Active NPI
George Herbert Knipp, B.S., LCPC, LCADC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1609019835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2864
- Practice address
- 800 Ingleside Ave
Baltimore, MD 21228-1722 - Phone
- (410) 744-5937
- Fax
- (410) 744-4674
- NPI assigned
- Apr 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC2864 | MD | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA1577 | MD | |
| Mental Health Counselor | 101YM0800X | LC2864 | MD | |
| Pastoral Counselor | 101YP1600X | LC2864 | MD | |
| Professional Counselor | 101YP2500X | LC2864 | MD | Primary |
Addresses
Primary practice location
800 Ingleside Ave
Baltimore, MD 21228-1722
Mailing address
814 Fairway Ave
Baltimore, MD 21228-5302
Phone (410) 788-3360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCA1577 | Other | MD | LCADC |
| LC2864 | Other | MD | LCPC |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2864 | MD | MD | Counselor |
| LCA1577 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1609019835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 FAIRWAY AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212285302",
"telephone_number": "410-788-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 INGLESIDE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212281722",
"telephone_number": "410-744-5937",
"fax_number": "410-744-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIPP",
"first_name": "GEORGE",
"middle_name": "HERBERT",
"name_prefix": "Mr.",
"credential": "B.S., LCPC, LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-17",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC2864",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA1577",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC2864",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MD",
"license": "LC2864",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCADC",
"identifier": "LCA1577",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "LC2864",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.