Individual provider Active NPI

Lora L. Black, PHD

  • Psychologist
  • Columbus, OH
National Provider Identifier
1053741074
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.7522 Issued in OH
Practice address
1800 Zollinger Rd FL 5
Columbus, OH 43221-2800
Phone
(614) 293-9600
Fax
(614) 366-1215
NPI assigned
Nov 13, 2013
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.7522 OH Primary

Addresses

Primary practice location

1800 Zollinger Rd FL 5
Columbus, OH 43221-2800

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-9600

Other names 1

  • Lora Louise Crouch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230815003199 OH Practitioner - Clinical Psychologist 6800130618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Psychiatry LLCGroup PAC ID 0749272714, 135 clinicians
Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

150 W Main St
FL 2
New Albany, OH 43054-9229
Phone (614) 293-3693

543 Taylor Ave
Columbus, OH 43203-1278
Phone (614) 293-8126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Psychiatry, LLC Mental Health CurrentSince Jul 3, 2023 Accepting new patients
Osu General Internal Medicine LLC Psychologist CurrentSince Oct 9, 2023 Accepting new patients

Locations

1670 Upham Dr
Columbus, OH 43210
Phone (614) 293-4540

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

543 Taylor Ave
Columbus, OH 43203
Phone (614) 685-3333

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

150 W Main St
Fl 2
New Albany, OH 43054
Phone (614) 293-3693

1800 Zollinger Rd
Upper Arlington, OH 43221
Phone (614) 293-2130

1800 Zollinger Rd
Fl 5
Upper Arlington, OH 43221
Phone (614) 293-7417

Interoperability endpoints

  • Direct secure messaging: lblack160652@direct.kuha.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1053741074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ZOLLINGER RD FL 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212800",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LORA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.7522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "CROUCH",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.