SARA REBECCA BLACK (NPI# 1831653369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831653369 |
| Entity Type | Individual |
| Full Name | SARA REBECCA BLACK |
| Practice Address |
425 Broadway St Paducah KY 42001-0713 |
| Practice Telephone | 2704427121 |
| Mailing Telephone | 2704427121 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699882845 | Sara H Black | Physician Assistant | 4630 Highway 17, Murrells Inlet, SC 29576-5016 | 2006-08-24 |
| 1235625930 | Sara Louise Black | Registered Nurse | 4600 3rd St, Moline, IL 61265-6106 | 2018-07-05 |
| 1285159665 | Sara Elizabeth Black | Physical Therapist | 80 E Jefferson St Ste 200, Falls Church, VA 22046-3567 | 2017-08-07 |
| 1831573757 | Sara Black | Counselor | 1216 N Central Expy, Suite 104, Mckinney, TX 75070-3310 | 2015-07-10 |
| 1629479043 | Sara E. Black | Nurse Practitioner | 2301 Erwin Road, Durham, NC 27710 | 2014-09-05 |
| 1952742314 | Sara Black | Speech-Language Pathologist | 13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124 | 2013-07-15 |
| 1912106113 | Sara E Black | Social Worker | 558 Pleasant St, New Bedford, MA 02740-6246 | 2007-07-17 |
| 1871538868 | Sara Black | Student in an Organized Health Care Education/Training Program | University of Wisconsin Hospital and Clinics, 600 Highland Ave., Room H4/831-8320, Madison, WI 53792-3284 | 2006-06-17 |
| Street Address |
425 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-0713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809997 | Duncan Edward Darnell | Psychiatry & Neurology | 425 Broadway St, Paducah, KY 42001-0713 | 2005-08-25 |
| 1649871187 | Alexandria Nicole Dicke | Registered Nurse | 425 Broadway St, Paducah, KY 42001-0713 | 2020-11-02 |
| 1790382745 | Shelby A Buechlein | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-10-02 |
| 1841816428 | Breanne Ashby | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-06-19 |
| 1265069934 | Jennifer Elizabeth James | Case Management | 425 Broadway St, Paducah, KY 42001-0713 | 2020-03-24 |
| 1356976369 | Olivia Swadley | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-03-10 |
| 1013548825 | Quinn Lambert | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2020-01-30 |
| 1659902955 | Kimberly B Vigil | Developmental Therapist | 425 Broadway St, Paducah, KY 42001-0713 | 2020-01-27 |
| 1578102190 | Wendy Susan Lovett | Case Manager/Care Coordinator | 425 Broadway St, Paducah, KY 42001-0713 | 2019-12-30 |
| 1215576830 | Morgan Nicole Jackson | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| 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 |
|---|---|---|---|---|
| 1477107126 | Christian Oneal Waggoner | Counselor | 1620 Kentucky Ave, Paducah, KY 42003-2851 | 2019-07-31 |
| 1134689094 | Emily Breann Belt | Counselor | 425 Broadway St Ste 101, Paducah, KY 42001-0713 | 2019-03-25 |
| 1316218886 | Sarah J Smith | Counselor | 4338 Sunset Ave, Paducah, KY 42001-4872 | 2012-01-15 |
| 1760033542 | Olivia Marie Warren | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2019-09-24 |
| 1366090086 | Sandra Taul Davis | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2019-08-27 |
| 1326606559 | Emma Caroline Mattingly | Counselor | 3229 Coleman Rd, Paducah, KY 42001-6563 | 2019-06-03 |
| 1669974770 | Amber Leigh Edwards | Counselor | 4001 Hansen Rd, Paducah, KY 42001-9784 | 2018-03-05 |
| 1326547092 | John Haase | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2018-02-07 |
| 1437549532 | Adam Neil Currence | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2015-01-27 |
| 1861815805 | Amanda Lee Ann Mcintosh | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2014-01-28 |
| Find all providers in PADUCAH | ||||
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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.