ELIZABETH ANNE RENEE BLACK (NPI# 1841854973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841854973 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANNE RENEE BLACK |
| Credential | LLPC |
| Practice Address |
1000 Hastings St Traverse City MI 49686-3445 |
| Practice Telephone | 2319478110 |
| Practice Fax Number | 2319473522 |
| Mailing Telephone | 2319478110 |
| Mailing Fax Number | 2319473522 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401013136 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400371 | Elizabeth Black | Specialist | 6 Hampton Pl, Newburgh, NY 12550-3135 | 2018-09-12 |
| 1770606584 | Elizabeth Ann Black | Dentist | 14 Penn Plz Ste 400, New York, NY 10122-0490 | 2007-04-08 |
| 1932179025 | Elizabeth A Black | Physical Therapist | 7927 Se Orient Dr, Gresham, OR 97080 | 2006-01-23 |
| 1396212163 | Elizabeth Black | Social Worker | 3605 Vista Way Ste 258, Oceanside, CA 92056-4565 | 2018-10-30 |
| 1508371386 | Elizabeth Black | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2017-12-03 |
| 1881070191 | Elizabeth Black | Social Worker | 555 Sun Valley Dr, Roswell, GA 30076-5612 | 2015-08-10 |
| 1356729859 | Elizabeth Black | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-05-15 |
| 1043697113 | Elizabeth Ashley Black | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2015-04-28 |
| 1548675382 | Elizabeth Black | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062-1566 | 2014-06-30 |
| 1205194875 | Elizabeth Black | Nurse Practitioner | 2650 Warrenville Rd, 280, Downers Grove, IL 60515-1748 | 2012-05-02 |
| Street Address |
1000 HASTINGS ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497716047 | Catholic Human Services, Inc | Counselor | 1000 Hastings St, Traverse City, MI 49686-3445 | 2006-03-31 |
| 1851924591 | Jessica Ruth Horness | Student in an Organized Health Care Education/Training Program | 1000 Hastings St, Traverse City, MI 49686-3445 | 2020-02-21 |
| 1487137980 | Brian Thomas Majszak | Social Worker | 1000 Hastings St, Traverse City, MI 49686-3445 | 2018-09-11 |
| 1043738396 | Jenna Schlaufman | Social Worker | 1000 Hastings St, Traverse City, MI 49686-3445 | 2017-09-07 |
| 1700329356 | Kayla Thomas | Counselor | 1000 Hastings St, Traverse City, MI 49686-3445 | 2016-11-30 |
| 1306203823 | Kyle Mathews | Social Worker | 1000 Hastings St, Traverse City, MI 49686-3445 | 2016-01-28 |
| 1578803367 | Amanda Ilene Bankert | Counselor | 1000 Hastings St, Traverse City, MI 49686-3445 | 2013-02-15 |
| 1316215767 | Joanna Danner Heinz | Counselor | 1000 Hastings St, Traverse City, MI 49686-3445 | 2011-12-13 |
| 1942414941 | Catherine D Mckay | Psychologist | 1000 Hastings St, Traverse City, MI 49686-3445 | 2007-05-09 |
| 1710191044 | William Colon Wares | Counselor | 1000 Hastings St, Traverse City, MI 49686-3445 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790429 | Jules Shellby | Counselor | 812 S Garfield Ave Ste J, Traverse City, MI 49686-3456 | 2018-11-29 |
| 1235614363 | Margaret Jean Fedder | Counselor | 13561 S West Bay Shore Dr Ste 306, Traverse City, MI 49684-6292 | 2018-09-25 |
| 1508373978 | Jacqueline Marie Conger | Counselor | 13561 S West Bay Shore Dr Ste 204, Traverse City, MI 49684-6292 | 2018-01-06 |
| 1679089072 | Lindsay Sea Wills | Counselor | 810 Cottageview Dr Ste 102, Traverse City, MI 49684-2392 | 2017-12-20 |
| 1245779362 | Erika L Spaulding | Counselor | 4407 N Long Lake Rd, Traverse City, MI 49684-9798 | 2017-02-22 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1154778603 | Troy A Elenbaas | Counselor | 12720 S West Bay Shore Dr, Traverse City, MI 49684-5451 | 2016-05-14 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1063816726 | Jessica Kelley | Counselor | 720 Wayne St, Traverse City, MI 49684-1493 | 2014-10-09 |
| 1316356074 | Nicole Devol | Counselor | 3642 Orchard Vw, Traverse City, MI 49684-8940 | 2014-08-07 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on ELIZABETH ANNE RENEE 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.