Individual provider Active NPI

Anna Lila Black, LPC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1316556343
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003842 Issued in GA
Practice address
107 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone
(912) 353-7699
Fax
(912) 353-9879
NPI assigned
Jul 27, 2020
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003842 GA Primary

Addresses

Primary practice location

107 Oglethorpe Professional CT
Savannah, GA 31406-3623

Mailing address

107 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone (912) 353-7699

Other names 1

  • Counselors Office Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counselor's Office Single Specialty CurrentSince Jul 20, 2021 Accepting new patients

Locations

107 Oglethorpe Professional Ct
Savannah, GA 31406
Phone (912) 353-7699

Organizations & group practices 1

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1316556343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-353-7699",
            "fax_number": "912-353-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-353-7699",
            "fax_number": "912-353-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ANNA",
        "middle_name": "LILA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-12-27",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COUNSELORS",
            "last_name": "OFFICE",
            "credential": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

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