Active NPI
Willie J Knight, MA, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1932601770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008226
- Practice address
- 7127 Germantown Ave
Philadelphia, PA 19119-1855 - Phone
- (215) 667-5598
- NPI assigned
- Mar 7, 2018
- Last updated
- Mar 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC008226 | PA | |
| Mental Health Counselor | 101YM0800X | PC008226 | PA | |
| Professional Counselor | 101YP2500X | PC008226 | PA | Primary |
Addresses
Primary practice location
7127 Germantown Ave
Philadelphia, PA 19119-1855
Mailing address
2714 Island Ave Apt 1
Philadelphia, PA 19153-1820
Phone (215) 667-5598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260512000980 | PA | Practitioner - Mental Health Counselor | 9335618024 | Practice locations: Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7127 Germantown Ave
Philadelphia, PA 19119-1855
Phone (215) 667-5598
72 Lake Tahoe Cir
Bear, DE 19701-3802
PO Box
Suite 833
Monroe, VA 24574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008226 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1932601770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 ISLAND AVE APT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191531820",
"telephone_number": "215-667-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7127 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191855",
"telephone_number": "215-667-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "WILLIE",
"middle_name": "J",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-07",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC008226",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC008226",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.