Camille Lynn Knight, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451021969 Issued in MI

Practice address

2650 Horizon Drive
Cascade Office Park 4, SE #225
Grand Rapids, MI 49546

Phone

(906) 322-5142

NPI assigned

Sep 2, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Camille Lynn Turner Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MI

  Medicare reassignment NPD
• The Holding Space Counseling and Wellness, LLC

  • Professional Counselor
  • Midland, MI
  • NPI 1629615224
  NPD (past)

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1710607270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32338 HILLTOP RD",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490478996",
            "telephone_number": "574-370-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 HORIZON DRIVE",
            "address_2": "CASCADE OFFICE PARK 4, SE #225",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "906-322-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CAMILLE",
        "middle_name": "LYNN",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451021969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camilleknight@theholdingspacecw.com",
            "affiliation": "N",
            "endpointDescription": "The Holding Space secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2650 Horizon Drive",
            "address_2": "Cascade Office Park 4, SE #225",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "TURNER",
            "middle_name": "LYNN",
            "credential": "LSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kassy Kneen, MD
• Cierra Kneeshaw
• Gretchen V Knight-Dennis, LMSW
• Nichole Renee Knight-Kloostra, FNP
• Austin Knight
• Christine Dharshika Knight, MD
• Hillary Veronica Knight, DDS
• Stevie Brook Knight, PHD
• Destiny Knightes
• Katlin Knodel, PSYD

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.