MR. MILLER DONOPHAN JR. KNIGHT (LPC) – Professional Counselor, NPI 1962593079

MR. MILLER DONOPHAN JR. KNIGHT (LPC) is a healthcare provider. based in Roscoe, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 178019202 (IL). The NPI Number for MR. MILLER DONOPHAN JR. KNIGHT (LPC) is 1962593079

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. MILLER DONOPHAN JR. KNIGHT (LPC)
NPI
1962593079
Phone
(815) 324-0324
Address
5290 WILLIAMS DR
Enumeration Date
27 September 2006
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083610311
Graduation Year
2022 (4 years ago)
PAC ID
7810336880
Group Practice PAC ID
3678565116
Professional Enrollment ID
I20250605002402
Address ID
WI535113550BE74XXXCTRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,641 MENTAL HEALTH COUNSELOR in NC

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Provider Addresses for MR. MILLER DONOPHAN JR. KNIGHT (LPC)

  • 5290 WILLIAMS DR

    ROSCOE, IL 610739222

    Phone: (815) 324-0324

    Fax: (866) 927-3053

    Type: Mailing

  • 806, Circle Drive, Roland Park, Monroe, Union County, North Carolina, 28112, United States

    MONROE, NC 281123800

    Phone: (704) 225-0584

    Fax: (800) 755-9281

    Type: Mailing

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: 2025-06-05

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
I20250605002402IMental Health CounselorWITBD

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 61073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678565116View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Mental Health CounselorIL
-WI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do I look up MR. MILLER DONOPHAN JR. KNIGHT (LPC) by NPI?
Use NPI 1962593079 when you need to reference MR. MILLER DONOPHAN JR. KNIGHT (LPC) in forms, claims, or directories.
Is MR. MILLER DONOPHAN JR. KNIGHT (LPC) currently active in the NPI registry?
CMS-published data lists MR. MILLER DONOPHAN JR. KNIGHT (LPC) as an active registrant.
Does MR. MILLER DONOPHAN JR. KNIGHT (LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for MR. MILLER DONOPHAN JR. KNIGHT (LPC). Clinical services aligned with this taxonomy classification.
Where does public data place MR. MILLER DONOPHAN JR. KNIGHT (LPC)?
The snapshot lists Roscoe, Illinois for MR. MILLER DONOPHAN JR. KNIGHT (LPC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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