Active NPI
Jennifer Black-Hardwick, MS, LPC
- Counselor
- Dothan, AL
National Provider Identifier
1891195749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3890
- Practice address
- 109 W Troy St Ste 109
Dothan, AL 36303-4516 - Phone
- (334) 231-1241
- Fax
- (334) 231-1242
- NPI assigned
- Aug 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3890 | AL | Primary |
| Counselor | 101Y00000X | C2121A | AL |
Addresses
Primary practice location
109 W Troy St Ste 109
Dothan, AL 36303-4516
Mailing address
109 W Troy St Ste 109
Dothan, AL 36303-4516
Phone (334) 231-1241
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2121A | AL | MD | Counselor |
| 3890 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1891195749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W TROY ST STE 109",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034516",
"telephone_number": "334-231-1241",
"fax_number": "334-231-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W TROY ST STE 109",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034516",
"telephone_number": "334-231-1241",
"fax_number": "334-231-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK-HARDWICK",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3890",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "C2121A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.