Individual provider Active NPI

Connie Marie Knox, MA, LPC, NCC

  • Professional Counselor
  • Saint Peters, MO
National Provider Identifier
1972689289
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2003024767 Issued in MO
Practice address
60 Gailwood Dr
Suite C
Saint Peters, MO 63376-6583
Phone
(636) 928-8505
Fax
(636) 928-0225
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2003024767 MO Primary

Addresses

Primary practice location

60 Gailwood Dr
Suite C
Saint Peters, MO 63376-6583

Mailing address

60 Gailwood Dr
Suite C
Saint Peters, MO 63376-6583
Phone (636) 928-8505

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2003024767MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1972689289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GAILWOOD DR",
            "address_2": "SUITE C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766583",
            "telephone_number": "636-928-8505",
            "fax_number": "636-928-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GAILWOOD DR",
            "address_2": "SUITE C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766583",
            "telephone_number": "636-928-8505",
            "fax_number": "636-928-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003024767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.