Miller Donophan Knight Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178019202 Issued in IL

Practice address

5290 Williams Dr
Roscoe, IL 61073-9222

Phone

(815) 324-0324

Fax

(866) 927-3053

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kathleen E Cox PC

  • Professional Counselor
  • Roscoe, IL
  • NPI 1821360181

  WI

  Medicare reassignment

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1962593079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739222",
            "telephone_number": "815-324-0324",
            "fax_number": "866-927-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739222",
            "telephone_number": "815-324-0324",
            "fax_number": "866-927-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MILLER",
        "middle_name": "DONOPHAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178019202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany J. Keyes, PT
• Jaclyn Kilby, DMD
• Kinnikinnick Ccusd 131
• Alisa Klatt, LPC
• Krysten Knievel
• Steven Edward Koepsell
• William Jeffrey Koppari, D.C.
• Courtney L Kovac, PHARM. D
• Tristi Kriegler
• Kroger Limited Partnership I

• All providers in Roscoe, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.