Active NPIIndividual provider

Michelle Black, LCDP, LMHC-A

Counselor, Mental Health in Riverside, Rhode Island

NPI Number1750607677
Practice location
610 Wampanoag Trl, Riverside, RI 02915-1504
Fax
—
Last updated
November 4, 2026

Michelle Black is a Counselor, Mental Health based in Riverside, RI. Michelle Black practices in Riverside, RI and has the professional credentials of LCDP, LMHC-A. The NPI Number for Michelle Black is 1750607677 and holds a License No. CDP00634 (RI). The current practice location address for Michelle Black is 610 Wampanoag Trl, Riverside, RI 02915-1504 and can be reached out via phone at 401-246-1195.

Provider Profile Details

NPI Number
1750607677
Provider Name
Michelle Black
Credential
LCDP, LMHC-A
Provider Entity Type
Individual
Gender
Female
Address
610 Wampanoag Trl, Riverside, RI 02915-1504
Phone Number
401-246-1195
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2010
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Wampanoag Trl
Riverside, RI 02915-1504
Zip
02915-1504
Phone Number
401-246-1195
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
610 Wampanoag Trl
Riverside, RI 02915-1504
City
Riverside
State
RI
Zip
02915-1504
Phone Number
401-246-1195

License Information

License Number (1)
CDP00634
License State (1)
RI
License Number (2)
MHC02155
License State (2)
RI
Taxonomy (2)
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 Michelle Black, LCDP, LMHC-A?

The NPI number of Michelle Black, LCDP, LMHC-A is 1750607677. It was assigned on April 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Michelle Black, LCDP, LMHC-A?

Michelle Black, LCDP, LMHC-A is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number CDP00634.

Where does Michelle Black, LCDP, LMHC-A practice?

The practice location is 610 Wampanoag Trl, Riverside, RI 02915-1504. The office can be reached at 401-246-1195 (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 1750607677 directly on the NPPES registry website.

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