Provider Demographics
NPI:1851279624
Name:KNISLEY, PEYTON VICTORIA (CSW)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:VICTORIA
Last Name:KNISLEY
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2224
Mailing Address - Country:US
Mailing Address - Phone:606-899-1515
Mailing Address - Fax:
Practice Address - Street 1:1401 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1140
Practice Address - Country:US
Practice Address - Phone:844-819-1377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY259923101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor