Active NPI
Mark Knox, PHD, LMFT
- Marriage & Family Therapist
- Fayetteville, NC
National Provider Identifier
1972958601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 71
- Practice address
- 1611 Owen Dr
Fayetteville, NC 28304-3425 - Phone
- (910) 483-5884
- NPI assigned
- May 2, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 71 | MT | Primary |
| Marriage & Family Therapist | 106H00000X | 1736 | NC |
Addresses
Primary practice location
1611 Owen Dr
Fayetteville, NC 28304-3425
Mailing address
147 Silver Lake PT
Sanford, NC 27332-9657
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1736 | NC | MD | Occupational Therapist |
| 71 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1972958601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 SILVER LAKE PT",
"city": "SANFORD",
"state": "NC",
"postal_code": "273329657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-483-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "MARK",
"credential": "PHD, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-02",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MT",
"license": "71",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.