JERRY KNIGHT
NPI 1669155453
Counselor - Mental Health in Chicago, IL
About Jerry Knight NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY KNIGHT (NPI 1669155453) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry Knight is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Knight reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60607
- Reassigned Medicare billing, Illinois enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jerry Knight's NPI number?
The NPI number for Jerry Knight is 1669155453. It was assigned to this individual provider in the NPPES registry on August 9, 2023.
Where is Jerry Knight located?
Jerry Knight practices at 808 W Junior Ter Apt 307, Chicago, IL 60613. The listed phone number is (212) 679-4661.
What is Jerry Knight's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jerry Knight enrolled in Medicare?
Yes. Jerry Knight is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Knight's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Knight reassigns Medicare benefits to Mcdermott Center (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Knight's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerry Knight was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jerry Knight · NPI 1669155453
Mental Health provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 9, 2023.
## Identity
- **NPI:** 1669155453 (Entity type: Individual)
- **Enumerated:** August 9, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 808 W JUNIOR TER APT 307, Chicago, IL 60613-1657
- **Phone:** (212) 679-4661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mcdermott Center (NPI 1457004046, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669155453) · Data from the CMS NPPES public registry.