Trenye Black, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15363 Issued in FL

Practice address

6271 Saint Augustine Rd Ste 24-1426
Jacksonville, FL 32217-2523

Phone

(661) 320-4015

Fax

(661) 475-5170

NPI assigned

Sep 19, 2017

Sex

Female

Sole proprietor

No

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 FL, CA, DC, VA4 enrollments

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 4

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trenyeblack@tdh.allscriptsdirect.net

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Married to Navy Counseling Services, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1912524158
  NPD Authorized official
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977
  Medicare reassignment
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL, VA

  Medicare reassignment
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1629597877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 SAINT AUGUSTINE RD STE 24-1426",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172523",
            "telephone_number": "904-894-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 SAINT AUGUSTINE RD STE 24-1426",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172523",
            "telephone_number": "661-320-4015",
            "fax_number": "661-475-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1257 N Palmetto Dr",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CA",
            "postal_code": "935232747",
            "country_code": "US",
            "telephone_number": "904-894-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Laurel St # 3101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011605",
            "country_code": "US",
            "telephone_number": "661-320-4015",
            "fax_number": "661-475-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 W Beaver St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322041415",
            "country_code": "US",
            "telephone_number": "904-894-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TRENYE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "8300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merticia Black
• Michelle Black, CRNA
• Miranda A Black, LPN
• Narissa Black
• Natalie Deborah Black, APRN
• Virginia Gibson Black, M.D.
• Angela Gonzales Blackburn, NURSE PRACTITIONER
• Monesha Blackman
• Kara Jean Blackmer, R.D., PA-C
• Ashley Blackmon, CRNA

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.