Jeremy D Knaub

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC.0021107 Issued in CO

Practice address

1701 Kipling St Ste 102
Lakewood, CO 80215-2848

Phone

(303) 274-4200

NPI assigned

Jan 8, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Change, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westminster, CO
  • NPI 1104222033
  NPD (past)
• Center for Change, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lakewood, CO
  • NPI 1922491497

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1710797196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 W 74TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054520",
            "telephone_number": "720-514-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 KIPLING ST STE 102",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152848",
            "telephone_number": "303-274-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUB",
        "first_name": "JEREMY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "ACC.0021107",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "ACC.0021107",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "ACC.0021107",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0021107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Patricia Giltner Kloser, RN BSN
• Sydney Klught
• Frank Paul Knapp, M.D.
• Kolin Mark Knapp, M.D.
• Debra Kaye Knaub, MA
• Acacia Kneale
• Hayley S Knicely, MOT
• Kaylyn Kniery
• Beate Knoche, R.PH., PH.D.
• Jennifer M. Knolmayer, CCC, SLP

• Addiction (Substance Use Disorder) Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.