Active NPI
Jillian Knecht, LPC
- Professional Counselor
- Mount Pocono, PA
National Provider Identifier
1659905990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012113
- Practice address
- 1385 Pocono Blvd
Mount Pocono, PA 18344-1678 - Phone
- (570) 972-5578
- NPI assigned
- Feb 25, 2020
- Last updated
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012113 | PA | Primary |
Addresses
Primary practice location
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Mailing address
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Phone (570) 972-5578
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012113 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1659905990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 POCONO BLVD",
"city": "MOUNT POCONO",
"state": "PA",
"postal_code": "183441678",
"telephone_number": "570-972-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 POCONO BLVD",
"city": "MOUNT POCONO",
"state": "PA",
"postal_code": "183441678",
"telephone_number": "570-972-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECHT",
"first_name": "JILLIAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pocono, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.