KIKI TAMIKA BLACK


Address: 603 Hamilton Rd, South Orange, NJ 07079-2709
Phone: 2019123085

KIKI TAMIKA BLACK (NPI# 1558977884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558977884
Entity Type Individual
Full Name KIKI TAMIKA BLACK
Credential MSW
Practice Address 603 Hamilton Rd
South Orange
NJ 07079-2709
Practice Telephone 2019123085
Mailing Telephone 2019123085
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 603 HAMILTON RD
City SOUTH ORANGE
State NJ
Zip Code 07079-2709

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1255946216 Melissa Marie Johnson Counselor 9 Vose Avenue, South Orange, NJ 07079 2020-09-15
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1457731085 Jespy House Inc. Day Training, Developmentally Disabled Services 343 Academy Street, South Orange, NJ 07079 2015-06-09
1760876460 Dianne Marie Aguero-trotter Psychologist 400 South Orange Ave, South Orange, NJ 07079 2015-03-20
1679815922 Beth L Sosin Obstetrics & Gynecology South Orange Ob/gyn & Infertility Group, 106 Valley Street, Ramp Entrance, South Orange, NJ 07079 2013-03-25
1790061745 Obianuju Rita Mbamalu Dentist 71 Valley St Ste 100, South Orange, NJ 07079 2011-10-21
1669765061 Aba 4 U Behavioral Analyst 4 South Orange Avenue Box 189, South Orange, NJ 07079 2011-05-18
1598903882 Guiding Hands Pediatrics Pediatrics 179 Irvington Avenue, South Orange, NJ 07079 2009-01-26
1417161647 Rosalyn Myrna Shapiro Counselor 346 Harding Drive, So Orange, NJ 07079 2007-05-09
1821200403 Donald Raymond Reeves Jr. Psychiatry & Neurology 112 Raymond Avenue, South Orang, NJ 07079 2007-05-04
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982211330 Allison Herman Counselor 85 Bay St Apt 2a, Montclair, NJ 07042-4847 2020-09-29
1003421124 Kelli Aida Karver Counselor 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 2020-09-15
1942815162 Eleanor Leanna Holder-elcock Counselor 1326 Lake St, Plainfield, NJ 07060-3126 2020-09-14
1750996229 Keith C Ross Counselor 186 Roosevelt Ave, Howell, NJ 07731-8542 2020-09-11
1821601055 Marina Seunath Counselor 101 Mountain Ct, Hackettstown, NJ 07840-2300 2020-08-27
1467065870 Miatta Brownson Counselor 522 Otto Ave, Edgewater Park, NJ 08010-2012 2020-08-25
1255941472 Holistic Behavioral Solutions Counselor 65 S Main St Ste C001, Pennington, NJ 08534-2822 2020-08-03
1093323198 Meaghan Isabel Murphy Donnelly Counselor 866 Wyoming Ave, Maywood, NJ 07607-1713 2020-07-15
1235757394 Antonio Morais Counselor 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 2020-07-06
1821613092 Priscilla Gonzales Counselor 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 2020-06-12
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Competitor

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City SOUTH ORANGE
Zip Code 07079

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Dataset Information

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.

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