Raymond Black III, MA, BS, LMHC, CSAC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

2009-835 Issued in HI

Practice address

985 Dillingham Blvd Ste 100
Honolulu, HI 96817-5772

Phone

(808) 834-2823

NPI assigned

Sep 18, 2019

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ray & Cee Inc

  dba Heavenly Counsel

  • Mental Health Counselor
  • Honolulu, HI
  • NPI 1710503032

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1548810898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 DILLINGHAM BLVD STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175772",
            "telephone_number": "808-392-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 DILLINGHAM BLVD STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175772",
            "telephone_number": "808-834-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, BS, LMHC, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1564-10",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-636",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "HI",
            "license": "2009-835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlyn Marie Bitanga
• Xiumei CHI Bivens, LMT
• Lydia Hoopili Bjugstad
• Erica Halana Malie Black
• Michael D. Black, M.D.
• Ronald A Black, M.D.
• Nicole P Blackburn
• Patrice Nicole Blackmon
• Patricia Blackmon, RPH
• Brandi N. Blair, MD

• Pastoral Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pastoral Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.