DAVID KNICKERBOCKER LPCC
NPI 1457983488
Counselor - Professional in East Liverpool, OH

Active since February 07, 2020PECOS Enrolled
15898 SAINT CLAIR AVE # 1, EAST LIVERPOOL, OH 43920(330) 953-0243 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2023, Oct 20, 2020, Feb 7, 2020 (3 updates tracked since 2020).

About David Knickerbocker Lpcc NPPES

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

DAVID KNICKERBOCKER LPCC (NPI 1457983488) is an individual professional provider in East Liverpool, Ohio, licensed in Ohio (E.2203074) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457983488
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID KNICKERBOCKERCredential: LPCC
Location Address15898 SAINT CLAIR AVE # 1East Liverpool, OH 43920-9122
Mailing Address204 S Cadillac DrBoardman, OH 44512-3324
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 7, 2020
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
NPI 1457983488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E.2203074
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C.2002851 (OH), C.1901855-TRNE
15898 SAINT CLAIR AVE # 1, East Liverpool, OH 43920

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Knickerbocker Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244681591
PECOS Enrollment IDI20240110004947
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Case Manager/Care Coordinator
15898 SAINT CLAIR AVE # 1
EAST LIVERPOOL, OH 43920
Case Manager/Care Coordinator
15898 SAINT CLAIR AVE # 1
EAST LIVERPOOL, OH 43920
Case Manager/Care Coordinator
15898 SAINT CLAIR AVE # 1
EAST LIVERPOOL, OH 43920
Case Manager/Care Coordinator
15898 SAINT CLAIR AVE # 1
EAST LIVERPOOL, OH 43920

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 David Knickerbocker's NPI number?

The NPI number for David Knickerbocker is 1457983488. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is David Knickerbocker located?

David Knickerbocker practices at 15898 Saint Clair Ave # 1, East Liverpool, OH 43920. The listed phone number is (330) 953-0243.

What is David Knickerbocker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Knickerbocker enrolled in Medicare?

Yes. David Knickerbocker is registered in the Medicare PECOS enrollment system.

What insurance does David Knickerbocker accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list David Knickerbocker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Knickerbocker was last updated on November 27, 2023. 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.