Active NPI
Diane N. Black, LPC
- Professional Counselor
- Allen, TX
National Provider Identifier
1982715728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18949
- Practice address
- 1333 W McDermott Dr
Allen, TX 75013-3090 - Phone
- (214) 239-1932
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 18949 | TX | Primary |
Addresses
Primary practice location
1333 W McDermott Dr
Allen, TX 75013-3090
Mailing address
115 McPherson Dr
Silsbee, TX 77656-3213
Phone (409) 892-3030
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 |
|---|---|---|---|
| 18949 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1982715728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MCPHERSON DR",
"city": "SILSBEE",
"state": "TX",
"postal_code": "776563213",
"telephone_number": "409-892-3030",
"fax_number": "409-385-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W MCDERMOTT DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133090",
"telephone_number": "214-239-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "DIANE",
"middle_name": "N.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.