MEDICARE: GRAEME MCKNIGHT ADDC, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1215863006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRAEME MCKNIGHT ADDC, LPCC

Provider Business Mailing Address
First Line	:	1019 STANTON ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4617
Country	:	US
Telephone Number	:	757-903-8519
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 E FONTANERO ST STE 301
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-7526
Country	:	US
Telephone Number	:	171-996-6489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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