Provider Demographics
NPI:1629440763
Name:KNIGHTSTEP, DANIEL DICKASON (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DICKASON
Last Name:KNIGHTSTEP
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5217 HUNTERS CIR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4207
Mailing Address - Country:US
Mailing Address - Phone:325-260-6363
Mailing Address - Fax:
Practice Address - Street 1:3300 S 14TH ST STE 304
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-5052
Practice Address - Country:US
Practice Address - Phone:325-260-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12273101YA0400X
TX71836101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX354103901Medicaid
TX13842812OtherCAQH