Active NPI
Deborah M Knecht
- Professional Counselor
- Pittston, PA
National Provider Identifier
1770101602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005360
- Practice address
- 466 N Main St
Pittston, PA 18640-2167 - Phone
- (570) 299-0092
- NPI assigned
- Jul 7, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005360 | PA | Primary |
Addresses
Primary practice location
466 N Main St
Pittston, PA 18640-2167
Mailing address
466 N Main St
Pittston, PA 18640-2167
Phone (570) 299-0092
Other practice location 1
235 E 8th St
Wyoming, PA 18644-2010
Phone (570) 655-1667 ext. 17
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH000465 | Other | PA | LICENSED BEHAVIOR SPECIALIST |
Other names 1
- Ms. Deborah Maria Knecht
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005360 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1770101602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 N MAIN ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186402167",
"telephone_number": "570-299-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 N MAIN ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186402167",
"telephone_number": "570-299-0092"
}
],
"practiceLocations": [
{
"address_1": "235 E 8th St",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "PA",
"postal_code": "186442010",
"country_code": "US",
"telephone_number": "570-655-1667 x17",
"fax_number": "570-602-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNECHT",
"first_name": "DEBORAH",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED BEHAVIOR SPECIALIST",
"identifier": "BH000465",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "KNECHT",
"middle_name": "MARIA",
"prefix": "MS.",
"credential": "MA, LPC, LBS, CGCS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.