Individual provider Active NPI

Daniel Dickason Knightstep, LPC, LCDC

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1629440763
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71836 Issued in TX
Practice address
3300 S 14TH St Ste 304
Abilene, TX 79605-5052
Phone
(325) 260-6363
NPI assigned
Oct 28, 2015
Last updated
Mar 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 71836 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 12273 TX
Professional Counselor 101YP2500X 71836 TX Primary

Addresses

Primary practice location

3300 S 14TH St Ste 304
Abilene, TX 79605-5052

Mailing address

5217 Hunters Cir
Abilene, TX 79606-4207
Phone (325) 260-6363

Other identifiers 2

IdentifierTypeStateIssuer
13842812OtherTXCAQH
354103901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325003832 TX Practitioner - Mental Health Counselor 0446773964 Practice locations: Abilene, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71836TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1629440763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 HUNTERS CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064207",
            "telephone_number": "325-260-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S 14TH ST STE 304",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796055052",
            "telephone_number": "325-260-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTSTEP",
        "first_name": "DANIEL",
        "middle_name": "DICKASON",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71836",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12273",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13842812",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354103901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.