Nola Wileen Knudsen, LAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC.0014961 Issued in CO

Practice address

548 Front Street
Fairplay, CO 80440

Phone

(719) 960-4598

NPI assigned

Apr 2, 2019

Last updated

Apr 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Knudsen Counseling Educational and Business Services LLC

  • Professional Counselor
  • Fairplay, CO
  • NPI 1518425206

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Knudsen Counseling Educational and Business Services

  • Addiction (Substance Use Disorder) Counselor
  • Bailey, CO
  • NPI 1326889593
  NPD Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1881156636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1344",
            "city": "FAIRPLAY",
            "state": "CO",
            "postal_code": "804401344",
            "telephone_number": "719-960-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 FRONT STREET",
            "city": "FAIRPLAY",
            "state": "CO",
            "postal_code": "80440",
            "telephone_number": "719-960-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60615 US Hwy 285",
            "address_purpose": "LOCATION",
            "city": "Bailey",
            "state": "CO",
            "postal_code": "80421",
            "country_code": "US",
            "telephone_number": "719-960-4598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "NOLA",
        "middle_name": "WILEEN",
        "credential": "LAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001219",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0014961",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0014961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Mountain Hygiene, PC
• Samantha Irene Jager, LMT
• Ian Michael Jolley
• Kristin Ann Klossner, LMT
• Knudsen Counseling Educational and Business Services LLC
• Robin Koffman, RN
• Kutik-Giampaolo Hearing , Inc. (Park County Audiology)
• Laj, Inc. (Snowy Peak Community Services)
• Edward Jerome Littman, DMD
• Amy Lynn Majikas, LMT

• Professional Counselor in Fairplay, CO
• Providers in Fairplay, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.