Elizabeth Mary Black, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014904 Issued in MI

Practice address

19316 Briarwood LN
Clinton Township, MI 48036-2121

Phone

(586) 246-6096

NPI assigned

Jul 28, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1356726608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19316 BRIARWOOD LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362121",
            "telephone_number": "586-246-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 BRIARWOOD LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362121",
            "telephone_number": "586-246-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siby Binu, FNP
• Bio-Medical Applications of Michigan, Inc. (FMC Dialysis Center - Clinton)
• Shanique Birch, MD
• Sarah Gepanaga Bishel, RPT
• Rose Marie Bjorklund, RN
• Regina Bernadette Black
• Alexandra Blair
• Christina Marissa Blake, D.O.
• Charles Blamo II, MSW, LLMSW
• Stephanie Ann Blaszyk

• Professional Counselor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.