Individual provider Active NPI

Joshua Jay Black, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1669024246
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025127 Issued in OH
Practice address
10123 Alliance Rd Ste 240
Blue Ash, OH 45242-4887
Phone
(513) 530-1600
NPI assigned
Jul 12, 2019
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP023693 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025127 OH Primary

Addresses

Primary practice location

10123 Alliance Rd Ste 240
Blue Ash, OH 45242-4887

Mailing address

13154 Navarre Rd SW
Beach City, OH 44608-9749
Phone (330) 417-9497

Other practice location 1

807 E Washington St Ste 220
Medina, OH 44256-3330
Phone (330) 536-3746

Other practice location 2

145 Irmc Dr
Indiana, PA 15701-3673
Phone (724) 357-7404

Other identifiers 1

IdentifierTypeStateIssuer
104027981MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190824000444 OH Practitioner - Nurse Practitioner 7214265529 Reassigns benefits to 3 organizations
I20201019002435 WV Practitioner - Nurse Practitioner 7214265529 Reassigns benefits to 1 organization
I20201201002380 PA Practitioner - Nurse Practitioner 7214265529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians
Alcove Ventures LLCGroup PAC ID 1456669605, 50 clinicians

Practice addresses (Care Compare)

145 Irmc Dr
Indiana, PA 15701-3673
Phone (724) 357-7404

2125 Royce St
Portsmouth, OH 45662-4714
Phone (740) 354-6635

3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.06 of 100Reported as group
Quality
90.22
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021527OHMDFamily Nurse Practitioner
APRN.CNP.025127OHMDPsychiatric/Mental Health Nurse Practitioner
SP023693PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Mar 28, 2025 Accepting new patients
West Virginia Psych. Services PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
CNP Operating Co LLC CurrentSince Mar 28, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Apr 1, 2025 Accepting new patients
P360 Care Services PLLC Dba Psych 360 Psychiatric/Mental Health CurrentSince Jul 13, 2022 Accepting new patients
Indiana Healthcare Physician Services, Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

10123 Alliance Rd
Ste 240
Blue Ash, OH 45242
Phone (330) 523-8212

7800 Jandaracres Dr
Cincinnati, OH 45248
Phone (513) 394-0787

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250

246 Friendship Cir
Beaver, PA 15009
Phone (724) 728-4320

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

145 Irmc Dr
Indiana, PA 15701
Phone (724) 357-7404

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

2600 Willow Street Pike N
Ste 116
Willow Street, PA 17584
Phone (717) 464-5693

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1669024246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13154 NAVARRE RD SW",
            "city": "BEACH CITY",
            "state": "OH",
            "postal_code": "446089749",
            "telephone_number": "330-417-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 ALLIANCE RD STE 240",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424887",
            "telephone_number": "513-530-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 E Washington St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442563330",
            "country_code": "US",
            "telephone_number": "330-536-3746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Irmc Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013673",
            "country_code": "US",
            "telephone_number": "724-357-7404",
            "fax_number": "724-357-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOSHUA",
        "middle_name": "JAY",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023693",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104027981",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.