Individual provider Active NPI

Dave Kneessy, MS, MAC, MCAP, LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Palm Bay, FL
National Provider Identifier
1871967273
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
39000279A Issued in IN
Practice address
2198 Harris Ave NE
Palm Bay, FL 32905-4002
Phone
(321) 951-9750
Fax
(321) 951-9765
NPI assigned
Nov 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 39000279A IN
Addiction (Substance Use Disorder) Counselor 101YA0400X 39000279A IN Primary

Addresses

Primary practice location

2198 Harris Ave NE
Palm Bay, FL 32905-4002

Mailing address

2198 Harris Ave NE
Palm Bay, FL 32905-4002
Phone (321) 951-9750

Other names 1

  • Mr. G. Davy Kneessy Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39000279AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cfsatc, Inc. Community/Behavioral Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1871967273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 HARRIS AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054002",
            "telephone_number": "321-951-9750",
            "fax_number": "321-951-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 HARRIS AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054002",
            "telephone_number": "321-951-9750",
            "fax_number": "321-951-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEESSY",
        "first_name": "DAVE",
        "name_prefix": "Mr.",
        "credential": "MS, MAC, MCAP, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39000279A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "39000279A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "KNEESSY",
            "middle_name": "DAVY",
            "prefix": "MR.",
            "credential": "MS, MAC, MCAP, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.