Active NPI
Jeffrey Holt Knudson
- Addiction (Substance Use Disorder) Counselor
- Appleton, WI
National Provider Identifier
1881876043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13825 130
- Practice address
- 4000 W. Spencer St.
Options Treatment Programs Inc.
Appleton, WI 54914 - Phone
- (920) 735-9010
- Fax
- (920) 735-9050
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13825 130 | WI | Primary |
Addresses
Primary practice location
4000 W. Spencer St.
Options Treatment Programs Inc.
Appleton, WI 54914
Mailing address
4000 W. Spencer St.
Options Treatment Programs Inc.
Appleton, WI 54914
Phone (920) 735-9010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13825 130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1881876043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W. SPENCER ST.",
"address_2": "OPTIONS TREATMENT PROGRAMS INC.",
"city": "APPLETON",
"state": "WI",
"postal_code": "54914",
"telephone_number": "920-735-9010",
"fax_number": "920-735-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W. SPENCER ST.",
"address_2": "OPTIONS TREATMENT PROGRAMS INC.",
"city": "APPLETON",
"state": "WI",
"postal_code": "54914",
"telephone_number": "920-735-9010",
"fax_number": "920-735-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUDSON",
"first_name": "JEFFREY",
"middle_name": "HOLT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "13825 130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.