Active NPI
Denise Michelle Black, LPC
- Professional Counselor
- Savannah, GA
National Provider Identifier
1871907535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007833
- Practice address
- 6555 Abercorn St
Suite 221
Savannah, GA 31405-5713 - Phone
- (912) 200-9818
- Fax
- (912) 200-9819
- NPI assigned
- Jun 20, 2014
- Last updated
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007833 | GA | Primary |
Addresses
Primary practice location
6555 Abercorn St
Suite 221
Savannah, GA 31405-5713
Mailing address
272 S Columbia Ave
Rincon, GA 31326-9026
Phone (912) 713-9533
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | help@SCCforu.com |
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 |
|---|---|---|---|
| LPC007833 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Mental Health Agency, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1881848174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1871907535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 S COLUMBIA AVE",
"city": "RINCON",
"state": "GA",
"postal_code": "313269026",
"telephone_number": "912-713-9533",
"fax_number": "912-826-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 ABERCORN ST",
"address_2": "SUITE 221",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055713",
"telephone_number": "912-200-9818",
"fax_number": "912-200-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "DENISE",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007833",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "help@SCCforu.com",
"affiliation": "N",
"address_1": "272 S Columbia Ave",
"city": "Rincon",
"state": "GA",
"country_code": "US",
"postal_code": "313269026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.