MATTHEW DAVID BLACK (NPI# 1821509415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821509415 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID BLACK |
| Credential | LPC, CDCA |
| Practice Address |
17606 Coshocton Rd Mount Vernon OH 43050-9218 |
| Mailing Address |
2000 Noble Dr Wooster OH 44691-5353 |
| Practice Telephone | 7403977568 |
| Mailing Telephone | 3302643232 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.163972 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.1500475 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718745 | Matthew David Black | Hearing Instrument Specialist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2020-01-06 |
| 1366922247 | Matthew L Black | Dietitian, Registered | 410 W 10th Ave, W180 Doan Hall, Columbus, OH 43210 | 2018-08-20 |
| 1124512447 | Matthew Black | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-06-20 |
| 1518313824 | Matthew Black | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-05-05 |
| 1891173282 | Matthew Kimball Black | Dentist | 512 N Young St, Kennewick, WA 99336-7839 | 2015-05-18 |
| 1275923955 | Matthew Black | Pharmacy Technician | 45155 First Colony Way, Attn Pharmacy, California, MD 20619-2416 | 2015-02-02 |
| 1891010567 | Matthew Crittenden Black | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St., C800, Pittsburgh, PA 15213 | 2010-04-06 |
| 1437339900 | Matthew Roger Black | Emergency Medicine | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-11-13 |
| 1679769947 | Matthew John Black | Physical Therapist | 4004 S Yale Ave, Tulsa, OK 74135-6017 | 2007-09-20 |
| 1346395175 | Matthew A. Black | Counselor | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2007-01-24 |
| Street Address |
17606 COSHOCTON RD |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-9218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639366735 | David Jon Paxton | Social Worker | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2007-10-02 |
| 1245831759 | Tonya Turner | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-11-03 |
| 1710592514 | Toni Hill | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-09-09 |
| 1245840149 | Morgan Jessup | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-08-05 |
| 1659996627 | Mckenzie Dorr | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-06-15 |
| 1750903217 | Michael L Poe | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-05-07 |
| 1174143838 | Barbara H Banbury | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-04-23 |
| 1629607973 | April Thomas | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-04-07 |
| 1376172627 | Ashley Hagy | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2020-04-07 |
| 1285272211 | Joyce Russell | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2019-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790264 | Latasha Nicole Lyons | Counselor | 1004 Mulligan Dr, Mount Vernon, IL 62864-2099 | 2020-05-05 |
| 1346717147 | Worthy Life Wellness, Pllc | Counselor | 4114 N Water Tower Pl Ste F, Mount Vernon, IL 62864-6548 | 2018-10-30 |
| 1659741221 | Shonda Lafaye Madison | Counselor | 1110 N Minnie St, Mount Vernon, GA 30445-2716 | 2015-09-25 |
| 1528308293 | Lacy Dawn Woolsey | Counselor | 800 S 45th St, Mount Vernon, IL 62864-6704 | 2013-02-18 |
| 1578861985 | Daniel Carr | Counselor | 707 Highway 37 South, Mount Vernon, TX 75457 | 2011-03-09 |
| 1871897371 | Jessica Ashlock | Counselor | 201 N 27th St, Mount Vernon, IL 62864-2941 | 2010-12-27 |
| 1902108657 | Suellen Nichole Wilcox | Counselor | 118 E High St, Mount Vernon, OH 43050-3443 | 2010-12-01 |
| 1326367467 | Mary Lynn Philbeck | Counselor | 50 Lovell Ct, Mount Vernon, KY 40456-2964 | 2010-05-28 |
| 1700042082 | Thomas Lee Haan | Counselor | 1621 Freeway Dr Ste 101c, Mount Vernon, WA 98273-2462 | 2008-08-06 |
| 1326219544 | Jalane Speaks | Counselor | 278 Beiting Ln, Mount Vernon, KY 40456-6376 | 2008-03-15 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on MATTHEW DAVID BLACK.
| 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.