MAXIE LEE KNIGHTEN
NPI 1063270627
Counselor - Mental Health in Chicago, IL

Active since March 08, 2024
4131 S STATE ST STE F, CHICAGO, IL 60609(773) 366-0055 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxie Lee Knighten NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIE LEE KNIGHTEN (NPI 1063270627) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1063270627
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMAXIE LEE KNIGHTEN
Location Address4131 S STATE ST STE FChicago, IL 60609-2942
Mailing Address9704 S Lowe AveChicago, IL 60628-1013 · (773) 366-0055 · Fax (773) 364-7200
Sole ProprietorNo
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
NPI 1063270627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4131 S STATE ST STE F, Chicago, IL 60609

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
4131 S STATE ST STE F
CHICAGO, IL 60609
Counselor (Addiction (Substance Use Disorder))
4131 S STATE ST STE F
CHICAGO, IL 60609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxie Knighten's NPI number?

The NPI number for Maxie Knighten is 1063270627. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Maxie Knighten located?

Maxie Knighten practices at 4131 S State St Ste F, Chicago, IL 60609. The listed phone number is (773) 366-0055.

What is Maxie Knighten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Maxie Knighten was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.