Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104265461 Individual Practitioner Female Practitioner

Tina M Knisley , LCDCIII

Counselor • Springfield, OH

Professional Overview & Biography Verified Profile Summary

Tina Knisley, LCDCIII is a registered healthcare professional specializing in Counselor in Springfield, OH. Practice services are available at 100 MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Medical Center Dr

Springfield, OH 455042687

Telephone 9375235363
Fax 9375235958
Associated Practice Facility / Clinic
🏢 Trillium Pathology, Inc. Facility NPI 1720056294

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Springfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Springfield, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH 001134

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lcdciii
00134 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Andrew Johnson

Registered Nurse

NPI 1013842376
NPI 1033316104

Doctor of Medicine (M.D.)

Jeremy Washington , PA-C

Physician Assistant

NPI 1033540810

Physician Assistant (Certified)

Mitchell Mccorkle , SRNA

Nurse Anesthetist, Certified Registered

NPI 1043017841
Dr. Chidoziri Nwokoro , DO

Emergency Medicine

NPI 1043751183

Doctor of Osteopathic Medicine (D.O.)

Dr. Eucharia Akusoba , MD

Internal Medicine

NPI 1053545269

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2013

Registered at 100 MEDICAL CENTER DR, SPRINGFIELD, OH 455042687 (Tel: 9375235363)

📍
Updated Business Mailing Address June 20, 2013

Registered at 100 MEDICAL CENTER DR, SPRINGFIELD, OH 455042687 (Tel: 9375235363)

👤
Provider Name / Credentials Updated June 20, 2013

Recorded as TINA KNISLEY, LCDCIII

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2013

Counselor (License #001134 in OH)

🟢
Initial NPI Registration & Enumeration June 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104265461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2013
Last Update: June 20, 2013
Sole Proprietor: No

Mailing Address

100 Medical Center Dr

Springfield, OH 455042687

Phone: 9375235363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.