Organization Active NPI

Knight Psychotherapy LLC

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1689363897
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KNIGHT PSYCHOTHERAPY LLC
Practice address
132 E Broadway Ste 415
Eugene, OR 97401-3155
Phone
(541) 579-8760
Fax
(541) 530-3053
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Zachary Knight, LCSWNPI 1548753916
Title
Owner
Phone
(541) 579-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

132 E Broadway Ste 415
Eugene, OR 97401-3155

Mailing address

132 E Broadway Ste 415
Eugene, OR 97401-3155
Phone (541) 579-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620000965 OR Part B Supplier - Clinic/Group Practice 5799143038 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

132 E Broadway
Ste 415
Eugene, OR 97401
Phone (541) 579-8760

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1689363897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 415",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013155",
            "telephone_number": "541-579-8760",
            "fax_number": "541-530-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 415",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013155",
            "telephone_number": "541-579-8760",
            "fax_number": "541-530-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-579-8760",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.