Active NPIIndividual provider

Paul Black, LCMHC

Counselor, Mental Health in Rutland, Vermont

NPI Number1104446897
Practice location
78 S Main St, Rutland, VT 05701-4594
Fax
802-747-7699
Last updated
April 22, 2020

Paul Black is a Counselor, Mental Health based in Rutland, VT. Paul Black practices in Rutland, VT and has the professional credentials of LCMHC. The NPI Number for Paul Black is 1104446897 and holds a License No. 0680127083 (VT). The current practice location address for Paul Black is 78 S Main St, Rutland, VT 05701-4594 and can be reached out via phone at 802-770-5418 and via fax at 802-747-7699.

Provider Profile Details

NPI Number
1104446897
Provider Name
Paul Black
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
78 S Main St, Rutland, VT 05701-4594
Phone Number
802-770-5418
Fax Number
802-747-7699
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2020
Last Update Date
April 22, 2020
Certification Date
April 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 S Main St
Rutland, VT 05701-4594
State
Vermont
Zip
05701-4594
Phone Number
802-770-5418
Fax Number
802-747-7699
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
78 S Main St
Rutland, VT 05701-4594
City
Rutland
State
VT
Zip
05701-4594
Phone Number
802-770-5418
Fax Number
802-747-7699

License Information

License Number
0680127083
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul Black, LCMHC?

The NPI number of Paul Black, LCMHC is 1104446897. It was assigned on April 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Paul Black, LCMHC?

Paul Black, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 0680127083.

Where does Paul Black, LCMHC practice?

The practice location is 78 S Main St, Rutland, VT 05701-4594. The office can be reached at 802-770-5418 (phone) or 802-747-7699 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104446897 directly on the NPPES registry website.

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