Kyle Stevan Black

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Phone

(740) 237-4981

NPI assigned

Feb 27, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bethesda Services LLC

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1790586444
  NPD (past)
• Bethesda Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1992392005
  NPD (past)
• Deeds Family Vision Care Inc.

  • Optometrist
  • Chesapeake, OH
  • NPI 1962607663
  NPD (past)
• United Family Recovery, LLC

  • Community/Behavioral Health Agency
  • Coal Grove, OH
  • NPI 1598366346
  NPD (past)
• United Family Recovery, LLC

  • Community/Behavioral Health Agency
  • Coal Grove, OH
  • NPI 1972100014
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1013862804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Private Drive 1122 Ste A",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456389153",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 County Road 24",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456383186",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KYLE",
        "middle_name": "STEVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "PRS.007899",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Coal Grove, OH
• Providers in Coal Grove, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.