Clayton Black, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-20575 Issued in AZ

Practice address

1600 N Country Club Rd
Tucson, AZ 85716-3119

Phone

(520) 327-4505

NPI assigned

Dec 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Codac Health Recovery and WellnessGroup PAC ID 6103813811, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clayton.black.p1@direct.codachrw.nextgenshare.com
• Direct secure messaging: clayton.black@mmcodachrw.contexture.medalliesmail.com

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.

• Codac Health Recovery and Wellness

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1033156567
  Medicare reassignment Care Compare group NPD
• Approach Counseling Center LLC

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1780481945
  NPD Authorized official
• Codac Health Recovery and Wellness

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1649911157
  NPD
• Codac Health, Recovery & Wellness, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1376931493
  NPD

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1033624317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N RAINBOW VISTA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122912",
            "telephone_number": "740-243-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163119",
            "telephone_number": "520-327-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8478 E Speedway Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101729",
            "country_code": "US",
            "telephone_number": "740-243-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CLAYTON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Jo Blachly, FNP-C
• Christie Rae Black Wissinger, R.N.
• Pamela K Black-Davis, M. D.
• Catherine Taylor Black-Hagaman, RN
• Charlotte Black, PHD
• Harold A Black, DDS
• Jane Black, FNP
• Jessica Ashley Black, DO
• Lateeka Black
• Mariah Black, MD, MS

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.