AMBER R BLACK (NPI# 1700222015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700222015 |
| Entity Type | Individual |
| Full Name | AMBER R BLACK |
| Other Name | AMBER R VAHABZADEGAN |
| Practice Address |
14700 Se 27th Ct Choctaw OK 73020-6596 |
| Practice Telephone | 4056138848 |
| Mailing Telephone | 4056138848 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |
| 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 |
|---|---|---|---|---|
| 1821448473 | Amber Black | Case Manager/Care Coordinator | 5919 Bankside Way, Reno, NV 89523-2527 | 2016-06-14 |
| 1679198352 | Amber N Black | Nurse Practitioner | 1949 W Market St, Akron, OH 44313-6910 | 2020-06-09 |
| 1881105930 | Amber Black | Case Manager/Care Coordinator | 1910 Fairgrove Ave, Hamilton, OH 45011-1930 | 2017-10-17 |
| 1073036919 | Amber Black | Counselor | 286 S Main St Ste 200, Alpharetta, GA 30009-1943 | 2017-07-23 |
| 1437534849 | Amber Black | Physical Therapy Assistant | 433 N Capitol Ave, Indianapolis, IN 46204-1234 | 2015-07-27 |
| 1174781082 | Amber Leigh Black | Occupational Therapist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2008-05-28 |
| Street Address |
14700 SE 27TH CT |
| City | CHOCTAW |
| State | OK |
| Zip Code | 73020-6596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666151 | Healthcare Express, LLP | Clinic/Center | 14321 Ne 23rd Street, Choctaw, OK 73020 | 2016-09-07 |
| 1497123798 | Steven Kyle Toelle | Counselor | 14700 Ne 50th Street, Choctaw, United States, OK 73020 | 2015-09-03 |
| 1295126936 | Maria Caram | Behavioral Analyst | 8525 Bella Circle, Choctaw, OK 73020 | 2015-02-17 |
| 1881948859 | Michaelanne Kelly | Physical Therapy Assistant | 1880 N Triple X Rd, Choctaw, OK 73020 | 2012-10-30 |
| 1508189465 | Helen Marie Allred | Counselor | 14453 Se 29th Street, Ste D, Choctaw, OK 73020 | 2010-03-08 |
| 1497944524 | Jaimie Sue Wright | Counselor | 14455 Steele Dr, Choctaw, OK 73020 | 2007-10-15 |
| 1972794949 | Jill Mechelle Loveless | Pharmacist | 2350 N Harper St, Choctaw, OK 73020 | 2007-08-06 |
| 1972719615 | Mary Neely Clayton | Dentist | 2408 N Main, Choctaw, OK 73020 | 2007-05-16 |
| 1215061486 | Belaben B Patel | Counselor | 14625 Ne3rd, Choctaw, OK 73020 | 2007-03-16 |
| 1740314129 | Tracy Ann Gasbarra | Dentist | 2401 N Henney Rd, Choctaw, OK 73020 | 2007-03-15 |
| Find all providers in zip 73020 | ||||
| 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 |
|---|---|---|---|---|
| 1205356284 | Lanita Marie Toelle | Counselor | 14700 Ne 50th St, Choctaw, OK 73020-9512 | 2017-06-21 |
| 1598292278 | Sabre Carlile | Counselor | 15565 Se 15th St, Choctaw, OK 73020-7004 | 2017-05-12 |
| 1023421831 | Torion Jones-deberry | Counselor | 2909 Maupin St, Choctaw, OK 73020-8807 | 2014-06-09 |
| 1124375472 | George Edward Peters IIi | Counselor | 14424 Timberdale Dr, Choctaw, OK 73020-8311 | 2012-08-06 |
| 1225307168 | Cathy Shuffield | Counselor | 2745 Main St, Choctaw, OK 73020-6703 | 2011-12-21 |
| 1619269255 | Cristina Michelle Holloway | Counselor | 3040 Muzzy St, Choctaw, OK 73020-8585 | 2011-05-13 |
| 1386960219 | Gayla Ann Givens | Counselor | 16521 Lynn St, Choctaw, OK 73020-7927 | 2010-04-16 |
| 1508189465 | Helen Marie Allred | Counselor | 14453 Se 29th Street, Ste D, Choctaw, OK 73020 | 2010-03-08 |
| 1497944524 | Jaimie Sue Wright | Counselor | 14455 Steele Dr, Choctaw, OK 73020 | 2007-10-15 |
| 1568982080 | J. Scott Mcwhirter | Counselor | 14625 Ne 23rd St, Choctaw, OK 73020-8728 | 2017-06-26 |
| Find all providers in CHOCTAW | ||||
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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.