KEITH OWEN BLACK (NPI# 1407195035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407195035 |
| Entity Type | Individual |
| Full Name | KEITH OWEN BLACK |
| Practice Address |
1490 University Blvd Hamilton OH 45011-3305 |
| Practice Telephone | 5138817189 |
| Practice Fax Number | 5138817188 |
| Mailing Telephone | 5138817189 |
| Mailing Fax Number | 5138817188 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386668267 | Keith N Black | Family Medicine | 421 Main Street, Panhandle, TX 79068 | 2006-07-26 |
| 1942861851 | Keith Black | Physical Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2019-06-23 |
| 1730695115 | Keith William Black | Counselor | 8005 S Figueroa St, Los Angeles, CA 90003-2720 | 2017-12-20 |
| 1033495890 | Keith Robert Black | Internal Medicine | 8600 E Market St, Suite 8, Warren, OH 44484-2375 | 2011-10-25 |
| 1841284460 | Keith Lanier Black | Specialist | 8700 Beverly Blvd, Los Angeles, CA 90048-1865 | 2005-09-09 |
| Street Address |
1490 UNIVERSITY BLVD |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670168 | Regina Ann Wilde | Nurse Practitioner | 1490 University Blvd, Hamilton, OH 45011-3305 | 2005-06-21 |
| 1972102325 | Ashtin Stanaford | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-10-17 |
| 1235744731 | Stefani Lynn Leavell | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-09-11 |
| 1154934909 | Erica Brown | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-08-30 |
| 1093327082 | Lauren Anne Zell | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-08-20 |
| 1376153619 | Erin Melissa Brown | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-08-02 |
| 1669090064 | Dana Benkin Danoff | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-07-12 |
| 1023636594 | Alyanna Christel Reick-mitrisin | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-07-10 |
| 1598305997 | Justice Kierra Mcknight | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2020-01-14 |
| 1619515129 | Amber Jones | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001739 | Jessica Lynn Acus | Counselor | 284 N Fair Ave, Hamilton, OH 45011-4222 | 2020-04-10 |
| 1952932287 | Xiomara Aracena | Counselor | 6 Pheasant Ln, Hamilton, NJ 08690-1612 | 2020-01-27 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1134625445 | Raymond Wang | Counselor | 621 S. Erie Blvd, Hamilton, OH 45011 | 2018-04-04 |
| 1124404041 | Stacy Basara | Counselor | 2135 Highway 33, Hamilton, NJ 08690-1740 | 2015-08-03 |
| 1700208766 | Mark R Stella | Counselor | 11 Tilia Ct, Hamilton, NJ 08690-3337 | 2014-01-10 |
| 1518223775 | Solomon G Gursay | Counselor | 1931 Nottingham Way, Hamilton, NJ 08619-3554 | 2012-04-02 |
| 1083933345 | Bonnie Mae Inks | Counselor | 263 Three Pond Dr, Hamilton, MT 59840-9024 | 2010-05-26 |
| 1710191002 | Angela Marie Goodall | Counselor | 140 Buckeye St, Hamilton, OH 45011-1627 | 2007-05-09 |
| 1770623936 | Beth Ellen Done | Counselor | 103 Bedford St, Hamilton, MT 59840-2816 | 2007-02-07 |
| Find all providers in HAMILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.