Tonya Marie Black, MA, LMFT, LMHC, CMHS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2142 W Railroad Ave
Shelton, WA 98584-7813

Phone

(360) 628-1295

Fax

(360) 427-7980

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1457687600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3991",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985093991",
            "telephone_number": "360-628-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847813",
            "telephone_number": "360-628-1295",
            "fax_number": "360-427-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 W Franklin St",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985843504",
            "country_code": "US",
            "telephone_number": "360-426-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TONYA",
        "middle_name": "MARIE",
        "credential": "MA, LMFT, LMHC, CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R Bettis
• Tani Lynn Biale, LMT
• Lara Michelle Biehl, LMP
• Paula Bigley, LMP
• Phillip Andrew Bilderback, M.D.
• Scott Walter Blake, SUDPT
• Donna Mae Blanton, LMP
• George Thomas Blevins, D.C.
• Danielle Blood, MD
• Meira Bloom

• Marriage & Family Therapist in Shelton, WA
• Providers in Shelton, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.