Provider Demographics
NPI:1336746577
Name:KNIGHT, CASEY (NLC, LPCC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:NLC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2351
Mailing Address - Country:US
Mailing Address - Phone:970-310-9068
Mailing Address - Fax:
Practice Address - Street 1:119 E 42ND ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2351
Practice Address - Country:US
Practice Address - Phone:970-310-9068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CONLC.0111292OtherNLC
COLPCC.0017663OtherLPCC