Blackman Child and Family Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLACKMAN CHILD AND FAMILY COUNSELING

Doing business as

Gold Creek Child and Family Counseling

Practice address

515 W Francis Ave Ste 5
Spokane, WA 99205-6413

Phone

(509) 283-1077

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Nika Davenport, MANPI 1649502360

Title

Owner

Phone

(509) 283-1077

Specialties & licenses 1

Addresses

Other names 1

• Gold Creek Child and Family Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nika Davenport

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1649502360
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1033967856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE STE 5",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-283-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE STE 5",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-283-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKMAN CHILD AND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "NIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-283-1077",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Creek Child and Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianna Laura Black, CHW
• Jeniffer Black
• Kiersten Black
• Nancy Lorraine Black, PT
• Aryanna Joy Blackburn
• Corey J Blackman
• Laura J Blackorby, LSWAIC
• Whitney R Blackwell, LMP
• Jessica Blackwood, BS
• Tricia Blackwood

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.