Blackbird Counseling & Wellness PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68801 Issued in TX

Legal business name

BLACKBIRD COUNSELING & WELLNESS PLLC

Practice address

16170 Jones Maltsberger Rd
110
San Antonio, TX 78247-3202

Phone

(210) 396-1944

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Frias, LPC

Title

Owner

Phone

(210) 396-1944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1316339559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD",
            "address_2": "110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "210-396-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD",
            "address_2": "110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "210-396-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBIRD COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "FRIAS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-396-1944",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidia Paulina Black
• Shawna Leigh Black, MSN, APRN, CPNP
• Staria L. Hudson Black, FNP
• Stephen Arthur Black, PTA
• Trinity Black
• Daniel E Blackburn
• Steven Joseph Blackburn, LVN
• David Dillard Blackerby II, CNC
• Blackland Prairie Medical PLLC
• Chris Blacklock, ATP

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.