Individual provider Active NPI

Kerri-Lynne Black, LMFT

  • Marriage & Family Therapist
  • East Meadow, NY
National Provider Identifier
1487023008
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001229 Issued in NY
Practice address
1600 Front St
East Meadow, NY 11554-2330
Phone
(516) 253-1517
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001229 NY Primary

Addresses

Primary practice location

1600 Front St
East Meadow, NY 11554-2330

Mailing address

1600 Front St
East Meadow, NY 11554-2330
Phone (516) 253-1517

Other practice location 1

7701 13th Ave
Brooklyn, NY 11228-2413
Phone (516) 557-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 29, 2025 through Oct 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001229NYMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1487023008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542330",
            "telephone_number": "516-253-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542330",
            "telephone_number": "516-253-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112282413",
            "country_code": "US",
            "telephone_number": "516-557-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KERRI-LYNNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.