Mary Anne Knolle, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10487 Issued in TX

Practice address

9912 Crestridge Dr
Denton, TX 76207-5616

Phone

(713) 927-4217

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Anne Ericson-Knolle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1861168221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 CRESTRIDGE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762075616",
            "telephone_number": "713-927-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 CRESTRIDGE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762075616",
            "telephone_number": "713-927-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLLE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ERICSON-KNOLLE",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anita Jo Kliewer, BCBA, LBA
• Shelley Rae Kline, P.T.
• KLR Health Solutions LLC
• Kari Dianne Knight
• Lacey Knight
• Karen R Knotts, RPH
• Miriam A Koech
• Angel Kay Koenig, M.ED., NCC, LPC-I
• Seow Kee Koh, LPC
• Lisa M Kohler, MD

• Professional Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.