MRS. CONNIE BLACK (NPI# 1558813477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558813477 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE BLACK |
| Practice Address |
14524 W David Dr Hammond LA 70401-1201 |
| Practice Telephone | 9856346536 |
| Mailing Telephone | 9856346536 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904647 | Connie Faye Black | Counselor | 1830 E Olive Rd, Pensacola, FL 32514-7582 | 2020-02-18 |
| Street Address |
14524 W DAVID DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| 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 |
|---|---|---|---|---|
| 1710593538 | Deanna Mathews, Lpc, LLC | Counselor | 115 S Cypress St Ste A, Hammond, LA 70403-4234 | 2020-09-17 |
| 1225686587 | Stephony Mark | Counselor | 44125 S Airport Rd, Hammond, LA 70403-0303 | 2019-08-29 |
| 1447726187 | Shelia L Sanders | Counselor | 1102 Commercial Dr, Hammond, LA 70403-5954 | 2018-10-20 |
| 1790289247 | Shanna Danielle Richardson | Counselor | 17492 Avalon Ter, Hammond, LA 70403-6455 | 2018-03-20 |
| 1003336918 | Erolyn Edwards | Counselor | 208 East Thomas Street, Hammond, LA 70401 | 2017-06-21 |
| 1356870885 | Unita Gay Andrews | Counselor | 17044 Domiano Ln., Hammond, LA 70401 | 2017-06-08 |
| 1134669328 | Lashaun Leonard | Counselor | 17113 E Park Ave, Hammond, LA 70403-5270 | 2017-03-07 |
| 1891230066 | Dustane Reed | Counselor | 18017 Ashton Dr, Hammond, LA 70403-0268 | 2016-12-27 |
| 1023466034 | Kiplyn Andrews | Counselor | 412 E Crystal St, Hammond, LA 70401-1822 | 2016-05-31 |
| 1386092393 | Jameshia Nichols | Counselor | 707 E Illinois Ave, Hammond, LA 70403-4523 | 2016-05-31 |
| Find all providers in HAMMOND | ||||
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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.