Individual provider Active NPI

Justin James Knodel, LCSW

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1821225848
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C006230 Issued in NC
Practice address
70 Woodfin Place #326-B
Asheville, NC 28801-2463
Phone
(828) 301-4000
NPI assigned
Jun 17, 2009
Last updated
Oct 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C006230 NC Primary

Addresses

Primary practice location

70 Woodfin Place #326-B
Asheville, NC 28801-2463

Mailing address

811 Academy St Ext
Asheville, NC 28803-2813
Phone (828) 301-4000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200430001249 TN Practitioner - Clinical Social Worker 3971750357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2700 S Roan St
Suite 435
Johnson City, TN 37601-7587
Phone (423) 408-8041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
The Journey Center for Healing Arts, PLLC Mental Health CurrentSince Jan 1, 2020 Accepting new patients
Living, Loving, Thriving, LLC Past Accepting new patients

Locations

100 W Unaka Ave
Johnson City, TN 37604
Phone (423) 408-8041

2700 S Roan St
Ste 435
Johnson City, TN 37601
Phone (423) 408-8041

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1821225848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 ACADEMY ST EXT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032813",
            "telephone_number": "828-301-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WOODFIN PLACE #326-B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012463",
            "telephone_number": "828-301-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODEL",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C006230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.