Active NPI
Lisa Black, CASAC-2
- Addiction (Substance Use Disorder) Counselor
- White Plains, NY
National Provider Identifier
1760127385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 32421
- Practice address
- 20 Church Street
White Plains, NY 10601 - Phone
- (914) 683-8050
- Fax
- (914) 683-8054
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 32421 | NY | Primary |
Addresses
Primary practice location
20 Church Street
White Plains, NY 10601
Mailing address
10 Northwind Rd
Yonkers, NY 10710-1730
Phone (914) 707-2544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32421 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1760127385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NORTHWIND RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101730",
"telephone_number": "914-707-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CHURCH STREET",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-683-8050",
"fax_number": "914-683-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "CASAC-2",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "32421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.