MEDICARE: JASON A KNIOLA MS, NCC, LMHC

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	39001855A	IN

General Provider Information

NPI Number	:	1841460201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON A KNIOLA MS, NCC, LMHC

Provider Business Mailing Address
First Line	:	326 E US HIGHWAY 30
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375-2654
Country	:	US
Telephone Number	:	765-491-7760
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 DIGBY RD
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-1150
Country	:	US
Telephone Number	:	765-491-7760
Fax Number	:

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

Provider Enumeration Date	:	03/01/2008
Last Update Date	:	01/20/2026

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