Erik Knudsen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW5332 Issued in FL

Practice address

6290 Corporate CT Ste 201
Fort Myers, FL 33919-3527

Phone

(239) 313-0296

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1679236624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 EAGLE RIDGE LAKES DR APT 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120702",
            "telephone_number": "239-851-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 CORPORATE CT STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193527",
            "telephone_number": "239-313-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "ERIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chevonne Olivia Knight
• Jenene Knowles, PA
• Tonya E. Knowles, BA
• James T Knox Jr., ARNP
• Valerie Lynn Knox
• Karen Sloane Knuffke, O.T.
• Brooke Mackenzie Knutson, AUD
• Katheryn Knutson, PA-C
• Jenna Koch, OTR/L
• Ariana Almasi Koehler, D.M.D.

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.