Active NPIIndividual providerSole proprietor

Miss Micaela T Black, LMHC

Counselor, Mental Health in Portsmouth, Rhode Island

NPI Number1629207626
Practice location
107 Clock Tower Sq, Suite 107, Portsmouth, RI 02871-1396
Fax
—
Last updated
July 11, 2009

Micaela T Black is a Counselor, Mental Health based in Portsmouth, RI. Micaela T Black practices in Portsmouth, RI and has the professional credentials of LMHC. The NPI Number for Micaela T Black is 1629207626 and holds a License No. MHC00421 (RI). The current practice location address for Micaela T Black is 107 Clock Tower Sq, Suite 107, Portsmouth, RI 02871-1396 and can be reached out via phone at 401-255-4299.

Provider Profile Details

NPI Number
1629207626
Provider Name
Micaela T Black
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
107 Clock Tower Sq, Suite 107, Portsmouth, RI 02871-1396
Phone Number
401-255-4299
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2009
Last Update Date
July 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Clock Tower Sq
Suite 107
Portsmouth, RI 02871-1396
Zip
02871-1396
Phone Number
401-255-4299
Portsmouth, RI 02871Get directions →

Provider Business Mailing Address Details

Address
163 N Christopher Ave
Tiverton, RI 02878-3885
City
Tiverton
State
RI
Zip
02878-3885
Phone Number
401-255-4299

License Information

License Number (1)
MHC00421
License State (1)
RI
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
0005601
License State (2)
RI
Taxonomy (2)
Case Manager/Care Coordinator · 171M00000X

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 Miss Micaela T Black, LMHC?

The NPI number of Miss Micaela T Black, LMHC is 1629207626. It was assigned on July 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Miss Micaela T Black, LMHC?

Miss Micaela T Black, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number MHC00421.

Where does Miss Micaela T Black, LMHC practice?

The practice location is 107 Clock Tower Sq, Suite 107, Portsmouth, RI 02871-1396. The office can be reached at 401-255-4299 (phone).

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 1629207626 directly on the NPPES registry website.

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