NOLA WILEEN KNUDSEN LAC, LPC
NPI 1881156636
Counselor - Professional in Fairplay, CO

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
548 FRONT STREET, FAIRPLAY, CO 80440(719) 960-4598 Get Directions Write a Review

NPPES record last updated: April 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2021, Apr 2, 2019 (2 updates tracked since 2019).

About Nola Wileen Knudsen Lac, Lpc NPPES

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

NOLA WILEEN KNUDSEN LAC, LPC (NPI 1881156636) is an individual professional provider in Fairplay, Colorado, licensed in Colorado (LPCC.0014961) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bailey, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881156636
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNOLA WILEEN KNUDSENCredential: LAC, LPC
Location Address548 FRONT STREETFairplay, CO 80440
Mailing AddressPo Box 1344Fairplay, CO 80440-1344 · (719) 960-4598
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2019
Last NPPES UpdateApril 11, 20212 updates tracked since enumeration
NPPES CertifiedApril 11, 2021
✔ NPI 1881156636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPCC.0014961
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0001219 (CO)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCC.0014961 (CO)
548 FRONT STREET, Fairplay, CO 80440

Secondary Practice Location 1

Location 160615 US Hwy 285Bailey, CO 80421 · Phone (719) 960-4598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nola Wileen Knudsen Lac, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062951544
PECOS Enrollment IDI20240828002857
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.

Medicare Billing Reassignment

Medicare enrollment records show Nola Knudsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
548 FRONT STREET
Fairplay, CO 80440
  • Reassigned Medicare billing, Colorado enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Dentist (Dental Public Health)
548 FRONT STREET, SUITE C
FAIRPLAY, CO 80440
Massage Therapist
548 FRONT STREET
FAIRPLAY, CO 80440
Counselor (Professional)
548 FRONT STREET
FAIRPLAY, CO 80440

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 Nola Knudsen's NPI number?

The NPI number for Nola Knudsen is 1881156636. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Nola Knudsen located?

Nola Knudsen practices at 548 Front Street, Fairplay, CO 80440. The listed phone number is (719) 960-4598.

What is Nola Knudsen's specialty?

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

Is Nola Knudsen enrolled in Medicare?

Yes. Nola Knudsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nola Knudsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nola Knudsen reassigns Medicare benefits to Knudsen Counseling Educational And Business Services LLC (Fairplay, CO). 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 Nola Knudsen'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 Nola Knudsen was last updated on April 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.