Janet L Black
Individual provider Active NPI Mental Health Counselor · Princeton, NJ
NPI 1194996629 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1194996629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 44SC04502 (NJ)
- Practice address
- 20 Academy St
Princeton, NJ 08540-9589 - Phone
- (609) 683-0261
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04502 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SC04502 | NJ | Yes |
Addresses
Primary practice location
20 Academy St
Princeton, NJ 08540-9589
Mailing address
20 Academy St
Princeton, NJ 08540-9589
Phone (609) 683-0261
Other names
- Janet Lindquist Black
Other providers in Princeton, NJ
- Amy Elizabeth Bibb
- Gianna Maria Bigliani-Cetkowski
- Jennifer Binkley
- Bio-Medical Applications of New Jersey, Inc.
- Caroline Elizabeth Black
- Hathi Blackman
- John Robert Blake
- Kathleen M Bland
- Thomas R Blom
- Blossom Wellness, LLC
All providers in Princeton, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.