Erica L Black, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2480 Issued in MN

Practice address

513 5TH St SW
Willmar, MN 56201-3216

Phone

(320) 214-9692

Fax

(320) 214-9924

NPI assigned

Sep 13, 2012

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

State licenses

Practice roles

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.

• Greater Minnesota Family Services

  • Mental Health Counselor
  • Willmar, MN
  • NPI 1609869726
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1831449149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562011810",
            "telephone_number": "320-214-9692",
            "fax_number": "320-214-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 5TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013216",
            "telephone_number": "320-214-9692",
            "fax_number": "320-214-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ERICA",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Verdell Allen Bjerketvedt, CRNA
• Cynthia S Bjur, MA, CCC-A
• Mary Alix Blick, L.AC.
• Blonigan Christianson Chiropractic
• Joan M Blonigan Christianson, DC
• Jasmine Djenaba Blue, LICSW
• Collin John Bohlke

• Marriage & Family Therapist in Willmar, MN
• Providers in Willmar, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.