Individual provider Active NPI

Eric J Black, LPC

  • Professional Counselor
  • Sterling Heights, MI
National Provider Identifier
1730526013
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012920 Issued in MI
Practice address
38271 Mound Rd Ste 300
Sterling Heights, MI 48310-3403
Phone
(586) 303-2255
Fax
(248) 266-1688
NPI assigned
May 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012920 MI
Professional Counselor 101YP2500X 6401012920 MI Primary

Addresses

Primary practice location

38271 Mound Rd Ste 300
Sterling Heights, MI 48310-3403

Mailing address

38271 Mound Rd Ste 300
Sterling Heights, MI 48310-3403
Phone (586) 909-5031

Other practice location 1

1261 Chaffer Dr
Rochester Hills, MI 48306-3714
Phone (248) 877-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240111001155 MI Practitioner - Mental Health Counselor 8224492731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Univ of Central Florida, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Counseling Services, PLLCGroup PAC ID 6608230115, 2 clinicians

Practice addresses (Care Compare)

38271 Mound Rd
Suite 300
Sterling Heights, MI 48310-3403
Phone (586) 303-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Counseling Center Professional CurrentSince Jan 1, 2021 Accepting new patients
Innovative Counseling Services, PLLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

42627 Garfield Rd
Ste 217
Clinton Twp, MI 48038
Phone (586) 203-2715

38271 Mound Rd
Ste 300
Sterling Heights, MI 48310
Phone (586) 303-2255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1730526013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38271 MOUND RD STE 300",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103403",
            "telephone_number": "586-909-5031",
            "fax_number": "248-266-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38271 MOUND RD STE 300",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103403",
            "telephone_number": "586-303-2255",
            "fax_number": "248-266-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Chaffer Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483063714",
            "country_code": "US",
            "telephone_number": "248-877-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012920",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.