Individual provider Active NPI

Cynthia McKnight, LPC

  • Professional Counselor
  • Grayslake, IL
National Provider Identifier
1639451552
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178007498 Issued in IL
Practice address
18640 W Il Route 120
Grayslake, IL 60030-9733
Phone
(847) 548-6000
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178007498 IL Primary

Addresses

Primary practice location

18640 W Il Route 120
Grayslake, IL 60030-9733

Mailing address

21299 W Lakeview Pkwy
Mundelein, IL 60060-9604
Phone (847) 989-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250724000998 IL Practitioner - Mental Health Counselor 0941637508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178007498ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The McKnight Group LLC Professional CurrentSince Jan 4, 2020 Accepting new patients
Community Youth Network, Inc Past Accepting new patients

Locations

1800 Nations Dr
Ste 211
Gurnee, IL 60031
Phone (224) 424-4194

1850 W Winchester Rd
Ste 108
Libertyville, IL 60048
Phone (224) 424-4194

740 Florsheim Dr
Ste 11
Libertyville, IL 60048
Phone (224) 424-4194

Organizations & group practices 2

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1639451552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21299 W LAKEVIEW PKWY",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609604",
            "telephone_number": "847-989-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 W IL ROUTE 120",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600309733",
            "telephone_number": "847-548-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "CYNTHIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.