Organization Active NPI

Knox Christian Counseling, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1720728611
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KNOX CHRISTIAN COUNSELING, PLLC
Practice address
122 W Vernon Ave
Wake Forest, NC 27587-2816
Phone
(919) 417-4155
Fax
(919) 554-9232
NPI assigned
Mar 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Jessica C. Knox, MSW, LCSWNPI 1326557174
Title
Christian Counselor
Phone
(252) 231-2655

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

122 W Vernon Ave
Wake Forest, NC 27587-2816

Mailing address

122 W Vernon Ave
Wake Forest, NC 27587-2816
Phone (919) 417-4155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208000483 NC Part B Supplier - Clinic/Group Practice 3678945268 Receives reassigned benefits from 1 practitioner
Practice locations: Wake Forest, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1720728611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W VERNON AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872816",
            "telephone_number": "919-417-4155",
            "fax_number": "919-554-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W VERNON AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872816",
            "telephone_number": "919-417-4155",
            "fax_number": "919-554-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHRISTIAN COUNSELOR",
        "authorized_official_telephone_number": "252-231-2655",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.