Kathryn Black, M.ED., NCC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

642 Brady St
Barboursville, WV 25504-1340

Phone

(304) 733-1833

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• GR&W, Inc

  dba GR&W Harmony

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024
  NPD
• Healthpath Medical & Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
  • NPI 1609645670
  NPD
• Healthpath Medical & Psychiatric Care LLC

  dba HealthPath Medical & Behavioral Health Services

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1699571372
  NPD
• GR&W, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgantown, WV
  • NPI 1992665723
  NPD (past)
• Loughridge Counseling Services LLC

  • Professional Counselor
  • Barboursville, WV
  • NPI 1285761049
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1336672724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255040283",
            "telephone_number": "304-733-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 BRADY ST",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041340",
            "telephone_number": "304-733-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KATHRYN",
        "credential": "M.ED., NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUGHRIDGE COUNSELING SERVICES, LLC",
            "identifier": "1285761049",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bitner
• Angela Black
• Bonnie Black
• Elizabeth Black
• Kathleen Black
• Montana Black
• Karrie Blackburn
• Kimberly Blackburn
• Misty Blackburn
• Melissa Blackford

• Counselor in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.