JERRY KNIGHT
NPI 1669155453
Counselor - Mental Health in Chicago, IL

Q: 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.

Q: What is Jerry Knight's specialty?

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

Q: 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.

Active since August 09, 2023PECOS Enrolled

808 W JUNIOR TER APT 307, CHICAGO, IL 60613(212) 679-4661 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1669155453

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJERRY KNIGHT

Location Address808 W JUNIOR TER APT 307Chicago, IL 60613-1657

Mailing Address808 W Junior Ter Apt 307Chicago, IL 60613-1657 · (212) 679-4661

Phone(212) 679-4661

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 9, 2023

NPPES CertifiedAugust 9, 2023

✔ NPI 1669155453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

808 W JUNIOR TER APT 307, Chicago, IL 60613

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Knight is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709357338

PECOS Enrollment IDI20260604003240

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.

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.

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.