MRS. AMY SUE BLACK (NPI# 1750756946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750756946 |
| Entity Type | Individual |
| Full Name | MRS. AMY SUE BLACK |
| Credential | MFT |
| Practice Address |
4329 Solun Rd Indianapolis IN 46221-3030 |
| Practice Telephone | 3178306276 |
| Mailing Telephone | 3178306276 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
| 1003385162 | Amy R Black | Behavioral Analyst | 84 Route 59 Ste 102, Suffern, NY 10901-4910 | 2018-11-19 |
| 1811354293 | Amy Black | Counselor | 2360 N 1450 E, Moroni, UT 84646-0461 | 2016-01-15 |
| 1477959716 | Amy Black | Lactation Consultant, Non-RN | 14601 Estate Dr, Woodbridge, VA 22193-3203 | 2014-11-14 |
| 1942336672 | Amy Louise Black | Developmental Therapist | 6448 N Oak Park Ave, 2n, Chicago, IL 60631-2018 | 2007-02-26 |
| 1447241617 | Amy Williams Black | Orthopaedic Surgery | Department of Orthopedics, 6600 Bruceville Road, Sacramento, CA 95823 | 2005-11-04 |
| 1447871801 | Amy Catherine Black | Counselor | 2813 S Main St Fl 2, Corona, CA 92882-5942 | 2020-04-27 |
| 1447785274 | Amy Black | Massage Therapist | 2115 Morgan Wieland Ln, Apt 106, Lakeland, FL 33813-3181 | 2017-04-30 |
| 1821542317 | Amy Black | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2016-08-12 |
| 1033424148 | Amy L Black | Nurse Practitioner | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2010-08-12 |
| Street Address |
4329 SOLUN RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1740443027 | Stacey Anne Ulery | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221 | 2008-07-07 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| Find all providers in zip 46221 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1942861059 | Marli Ann Piercy | Marriage & Family Therapist | 819 E 64th St Ste 222, Indianapolis, IN 46220-1695 | 2019-06-28 |
| 1164089603 | Kaitlin Whelan | Marriage & Family Therapist | 815 E 63rd Pl Ste 205, Indianapolis, IN 46220-1885 | 2019-05-21 |
| 1114583721 | Michael James O'connell | Marriage & Family Therapist | 815 E 63rd Pl Ste 203, Indianapolis, IN 46220-1885 | 2019-05-20 |
| 1427516699 | Erica Mack-jackson | Marriage & Family Therapist | 9247 N Meridian St Ste 255, Indianapolis, IN 46260-1879 | 2019-03-06 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
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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.