Shannon Knight, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61262511 Issued in WA

Practice address

2625 Wheaton Way Ste B
Bremerton, WA 98310-3372

Phone

(360) 792-2020

Fax

(360) 478-6993

NPI assigned

Jun 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1891319216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19689 7TH AVE NE # 110",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708091",
            "telephone_number": "360-830-6617",
            "fax_number": "360-830-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103372",
            "telephone_number": "360-792-2020",
            "fax_number": "360-478-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "SHANNON",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61262511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth David Klions, M.D.
• William Joseph Klorig, M.D.
• Tekiai A KM-WR Cerer
• Emily Knickerbocker
• Ashley Knight
• Aidan Knivila-Ritchie
• Matthew Brandt Knoebel, DPT
• Jessica Knorr
• Jessie Knowles
• Chantal Marie Knudson

• Mental Health Counselor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.