LARRY W KNOPP (MA LCPC) – Counselor, NPI 1679595458

LARRY W KNOPP (MA LCPC) is a healthcare provider. based in Mt vernon, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA LCPC. The NPI Number for LARRY W KNOPP (MA LCPC) is 1679595458

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
LARRY W KNOPP (MA LCPC)
NPI
1679595458
Phone
(618) 242-1510
Address
PO BOX 428
Enumeration Date
24 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182421510
Graduation Year
2000 (26 years ago)
PAC ID
0840723862
Group Practice PAC ID
1153350103
Professional Enrollment ID
I20241030000555
Address ID
IL628648178MO1633837XX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for LARRY W KNOPP (MA LCPC)

  • PO BOX 428

    MT VERNON, IL 62864

    Phone: (618) 242-1510

    Fax: (618) 242-0958

    Type: Mailing

  • 16342 N IL HWY 37

    MT VERNON, IL 62864

    Phone: (618) 242-1510

    Fax: (618) 242-0958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241030000555IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Reviews

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Frequently asked questions

What federal number belongs to LARRY W KNOPP (MA LCPC)?
The federal identifier for LARRY W KNOPP (MA LCPC) is NPI 1679595458.
Is LARRY W KNOPP (MA LCPC)'s NPI currently valid?
The extract we use shows LARRY W KNOPP (MA LCPC) as active.
What does LARRY W KNOPP (MA LCPC) treat or focus on?
Patients typically see LARRY W KNOPP (MA LCPC) under the specialty Counselor. Clinical services aligned with this taxonomy classification.
Where is LARRY W KNOPP (MA LCPC)'s primary listing?
We display Mt Vernon, Illinois because that is what the record indicates for LARRY W KNOPP (MA LCPC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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