Courtney Laine Black, CASE MANAGEMENT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1201 Arlington St Ste G
Ada, OK 74820-4072

Phone

(580) 235-0274

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: courtneyblack@treatmentservices.org

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.

• Southern Oklahoma Treatment Serices, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Anadarko, OK
  • NPI 1881473536
  Authorized official Same address or phone
• Southern Oklahoma Treatment Services

  dba OK Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sulphur, OK
  • NPI 1033997861
  Authorized official Same address or phone

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1255920088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON ST STE G",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-235-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON ST STE G",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-235-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "COURTNEY",
        "middle_name": "LAINE",
        "credential": "CASE MANAGEMENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtneyblack@treatmentservices.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "1201 Arlington St Ste G",
            "city": "Ada",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748204072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary Billings
• Bio-Medical Applications of Oklahoma, Inc. (Ada Dialysis Center)
• Biofeedback & Counseling, Inc.
• Biofeedback Solutions, LLC
• Rachel Renee Birchfield, PA-C
• Lyndee Black, COTA/L
• Chekota Leeann Blakemore, BA
• Bryan Andrew Blanck, D.P.M.
• Khrystal Blankenship, B.H.R.S.
• Haylee Makenzi Boatright

• Case Manager/Care Coordinator in Ada, OK
• Providers in Ada, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.