Stephen Rockwell Black, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61329324 Issued in WA

Practice address

7700 NE Parkway Dr Ste 130
Vancouver, WA 98662-6648

Phone

(971) 212-2046

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Silver Star Counseling PLLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1821772542
  NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1245956846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 130",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "971-212-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 130",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "971-212-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEPHEN",
        "middle_name": "ROCKWELL",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61329324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen@fircrestbh.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "FIRCREST BH PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7700 NE Parkway Dr Ste 130",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986626648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David John Black, MD, MPH
• Douglas Lee Black, LMP
• Peter K Black, MD
• Rebecca Sarah Rose Black
• Sara Black, LMT
• Timothy Black, PA
• Melissa Anne Blackburn
• Jennifer Rebecca Blackman, P.T.A
• Kevoy Blackwood
• Kabiah Ann Blain

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 Oct 14, 2022; 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.