KATIE L. BLACK LPC – NPI #1588426803
Counselor

KATIE BLACK is a counselor located in JACKSON, TN. NPPES recently assigned the NPI number 1588426803 to KATIE BLACK on January 24, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 101YP2500X from the Health Care Provider Taxonomy code set, which is classified as Counselor specializing in Professional

The NPI profile was last updated on Feb 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATIE BLACK below.

NPI Profile for
KATIE L. BLACK

NPI Number
1588426803
Created

(about 6 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATIE L. BLACK
Credentials
LPC
Primary location
650 ASHPORT RD
JACKSON, TN 38305-7327
Phone: (731) 431-5069 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Feb 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
101YP2500X
- Counselor / Professional (Primary)
TN 6968

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.