Jeanna D'Ann Black, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14857 Issued in TX

Practice address

1616 S Kentucky St
Suite C-255
Amarillo, TX 79102-2252

Phone

(806) 331-5738

Fax

(806) 331-5738

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. D'Ann Black Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043360829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S KENTUCKY ST",
            "address_2": "SUITE C-255",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022252",
            "telephone_number": "806-331-5738",
            "fax_number": "806-331-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S KENTUCKY ST",
            "address_2": "SUITE C-255",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022252",
            "telephone_number": "806-331-5738",
            "fax_number": "806-331-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JEANNA",
        "middle_name": "D'ANN",
        "name_prefix": "Ms.",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D'ANN",
            "last_name": "BLACK",
            "prefix": "MS.",
            "credential": "MED, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keith D Bjork, M.D.
• Nels Bjork
• Black & Ruiz Dental Centre, Inc.
• Blaire Black
• Danny Earl Black, DMD
• Jeff Black
• Kelly Black
• Kenneth Bryan Black, REGISTERED NURSE
• Lauren Black
• Shelly Black, COTA/CLT

• Professional Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.