Nicole Black, PHD, LPC-S, LCDC RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71446 Issued in TX

Practice address

4601 66TH St Ste D
Lubbock, TX 79414-4875

Phone

(806) 630-0126

Fax

(806) 722-5225

NPI assigned

Jun 26, 2015

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dr. Nicole Black, PHD, LPC-S, LCDC, RPT PLLC

  • Professional Counselor
  • Lubbock, TX
  • NPI 1780270173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1477935351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 66TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144875",
            "telephone_number": "806-630-0126",
            "fax_number": "806-722-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 66TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144875",
            "telephone_number": "806-630-0126",
            "fax_number": "806-722-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-S, LCDC RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12986",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asmaa Bkhet, MD
• Arica Grace Black, AUD
• Carrie Sue Black, SLP
• Cynthia Black, RPH
• Lashonda Nicole Black, LCDC-I
• Rosa Elena Black
• Sandra Ra'Chelle Black, ATC
• Anita Faye Blackburn
• Ashley Sledge Blackstock, OTR/L
• David Eric Blackwell, M.D.

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.