LARRY W KNOPP (NPI# 1679595458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679595458 |
| Entity Type | Individual |
| Full Name | LARRY W KNOPP |
| Credential | MA LCPC |
| Practice Address |
16342 N Il Hwy 37 Mt Vernon IL 62864 |
| Mailing Address |
Po Box 428 Mt Vernon IL 62864 |
| Practice Telephone | 6182421510 |
| Practice Fax Number | 6182420958 |
| Mailing Telephone | 6182421510 |
| Mailing Fax Number | 6182420958 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK | 295215 | 01 | |
| IL | BCBS | 0004115177 | 01 |
| Street Address |
16342 N IL HWY 37 |
| City | MT VERNON |
| State | IL |
| Zip Code | 62864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972533990 | Jefferson County Comprehensive | Clinic/Center | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2006-07-04 |
| 1437494002 | Brent Simpson | Counselor | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2012-12-07 |
| 1255676227 | Erin Wenzel | Licensed Practical Nurse | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2012-12-03 |
| 1184978413 | James Kellerman | Counselor | 16342 N Il Hwy 37, Mt Vernon, IL 62864-0054 | 2012-11-08 |
| 1457610719 | Lisa B Korzenewski | Registered Nurse | 16342 N Il Hwy 37, Mt Vernon, IL 62864-0054 | 2012-05-08 |
| 1699003293 | Lorianne Catherine Schmider | Counselor | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2009-11-20 |
| 1881828788 | Jefferson County Comprehensive Svc | Clinic/Center | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2009-05-06 |
| 1629181573 | Sherry Gail Webb | Licensed Practical Nurse | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2006-08-16 |
| 1700999661 | Loretta M Stevens | Registered Nurse | 16342 N Il Hwy 37, Mt Vernon, IL 62862 | 2006-08-16 |
| 1760404545 | Jane E Williams | Counselor | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053868570 | Dennis Hartley Skaggs | Counselor | 209 Milwaukee Street, Mt Vernon, WA 98273 | 2016-09-01 |
| 1689728552 | Janice G Cook | Counselor | 123 S 10th St, Ste 510, Mt Vernon, IL 62864 | 2007-01-22 |
| 1669531653 | Keli Erin Tate | Counselor | #1 Doctor Park Road, Suite H, Mt Vernon, IL 62864 | 2006-12-06 |
| 1760404545 | Jane E Williams | Counselor | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2006-07-24 |
| 1326060104 | Teresa L Barnfield | Counselor | 16342 N Il Hwy 37, Mt Vernon, IL 62864 | 2006-07-24 |
| 1134161805 | Christopher Greater Area Rural Health Planning Corp | Counselor | 2920 Veterans Parkway, Mt Vernon, IL 62864 | 2006-06-10 |
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|---|---|---|---|---|
| 1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
| 1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
| 1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
| 1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
| 1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
| 1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
| 1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
| 1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.