Laura Black, M.A., LPC CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2224 W 12TH Ave
Stillwater, OK 74074-5154

Phone

(405) 377-3380

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Payne County Youth Services, Inc.

  • Community/Behavioral Health Agency
  • Stillwater, OK
  • NPI 1285780734
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1790134229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S DUNCAN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743281",
            "telephone_number": "405-372-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745154",
            "telephone_number": "405-377-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LAURA",
        "credential": "M.A., LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Dawn Bigheart, MS
• Richard Thomas Birdwell
• Bison Behavioral
• Bison Counseling
• Jessica Nicole Bittner
• Lindsay Black
• Shanon Black, DDS
• Tayah Marie Black, RBT
• John Blair, APRN
• Rachel Amariah Blair

• Mental Health Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.