MATTHEW DAVID BLACK LPC CDCA NPI 1821509415

NPI Information

NPI: 1821509415
Provider Name: MATTHEW DAVID BLACK, LPC, CDCA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
17606 COSHOCTON RD
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 397-7568
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Matthew David Black, LPC, CDCA is a professional counselor in Mount Vernon, OH. Matthew David Black, LPC, CDCA NPI is 1821509415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17606 COSHOCTON RD
MOUNT VERNON, OH
ZIP 43050-218
Phone: (740) 397-7568

The enumeration date for this NPI number is 10/23/2017 and was last updated on 6/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.163972	OHIO	No
2	101YP2500X	Counselor	Professional	C.1500475	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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