Beverly M Knott, CNS | |
6461 La Petite Pl, Centreville, VA 20121-3885 | |
(703) 968-5641 | |
Not Available |
Full Name | Beverly M Knott |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6461 La Petite Pl, Centreville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255565792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0015000875 (Virginia) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024181898 (Virginia) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Beverly M Knott, CNS 6461 La Petite Pl, Centreville, VA 20121-3885 Ph: (703) 968-5641 | Beverly M Knott, CNS 6461 La Petite Pl, Centreville, VA 20121-3885 Ph: (703) 968-5641 |
Maureen Fulkerson, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Stone Rd, Suite 300, Centreville, VA 20120 Phone: 571-289-6725 | |
Mrs. Andrea Beth Mccormack, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Stone Rd Ste 310, Centreville, VA 20120 Phone: 816-405-7499 | |
Donna C Fortney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Stone Rd, Suite 300, Centreville, VA 20120 Phone: 703-869-3589 Fax: 703-818-9688 | |
Mrs. Lisa Jinyoung Lee, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14668 Battery Ridge Ln, Centreville, VA 20120 Phone: 703-615-5382 | |
Ms. Marguerite Cope Hursh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Stone Rd, Suite 300, Centreville, VA 20120 Phone: 703-715-6077 Fax: 703-631-6982 | |
Bethany R Lang, MS NCC NCSC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6454 Gristmill Square Ln, Centreville, VA 20120 Phone: 610-212-9312 |