Active NPI
Regina Knight
- Mental Health Counselor
- Lake City, SC
National Provider Identifier
1730585779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 675 N Matthews Rd
Lake City, SC 29560-7027 - Phone
- (843) 394-7600
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
675 N Matthews Rd
Lake City, SC 29560-7027
Mailing address
675 N Matthews Rd
Lake City, SC 29560-7027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376241 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1730585779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 N MATTHEWS RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295607027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N MATTHEWS RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295607027",
"telephone_number": "843-394-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "REGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376241",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.