KIMBERLY ROCHELLE BLACK (NPI# 1063997237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063997237 |
| Entity Type | Individual |
| Full Name | KIMBERLY ROCHELLE BLACK |
| Credential | LPC;LCAS-A |
| Practice Address |
31 E Main Ave Taylorsville NC 28681-2540 |
| Mailing Address |
Po Box 1545 Statesville NC 28687-1545 |
| Practice Telephone | 7048720234 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
24177 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
12214 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962769919 | Kimberly Black | Speech-Language Pathologist | 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 | 2012-04-16 |
| 1619484839 | Kimberly Black | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-01-09 |
| 1174042634 | Kimberly Sue Black | Registered Nurse | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2017-09-15 |
| 1255878989 | Kimberly Lucille Black | Nurse Practitioner | 411 3rd St, Monett, MO 65708-2008 | 2017-01-19 |
| 1326415043 | Kimberly Black | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2015-08-28 |
| 1821476235 | Kimberly Black | Marriage & Family Therapist | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2015-05-18 |
| 1043613318 | Kimberly Black | Hearing Instrument Specialist | 798 Downtowner Blvd, Ste A, Mobile, AL 36609-5424 | 2014-10-01 |
| 1518199728 | Kimberly G Black | Surgery | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2009-08-20 |
| 1558522342 | Kimberly Black | Physical Therapist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2008-06-24 |
| Street Address |
31 E MAIN AVE |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861046773 | Brooke Nicole-hayes Massenburg | Nurse Practitioner | 31 E Main Ave, Taylorsville, NC 28681-2540 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942853726 | John Eugene Dyson | Counselor | 100 7th St Sw, Taylorsville, NC 28681-2410 | 2019-07-20 |
| 1518452218 | Brandi Sweet | Counselor | 5663 S Redwood Rd Ste Office14, Taylorsville, UT 84123-5387 | 2018-06-25 |
| 1043699812 | Jodi Province Counseling Services Pllc | Counselor | 99 E Main Ave, Taylorsville, NC 28681-2540 | 2015-05-26 |
| 1144481672 | Kara Jo-lyn Moose | Counselor | 864 Lake Vista Ln, Taylorsville, NC 28681-8017 | 2008-06-18 |
| 1205008570 | Martha Cornelia Rhyne Winkler | Counselor | 85 Bulldog Lane, West Alexander Middle School, Taylorsville, NC 28681-3354 | 2008-03-27 |
| 1073656906 | Kent Garth Larson | Counselor | 3578 W 4850 S, Taylorsville, UT 84118-2836 | 2007-02-14 |
| 1346299583 | Alexander Counseling and Consulting Services, Inc. | Counselor | 153 N Nc Highway 16, Taylorsville, NC 28681-2471 | 2006-05-06 |
| 1124660808 | Ronald Everett Tenney | Counselor | 3509 W 4700 S, Taylorsville, UT 84129-2846 | 2019-10-14 |
| 1255507612 | Glenn Dutton | Counselor | 5691 S Redwood Rd Unit 16, Taylorsville, UT 84123-5485 | 2008-05-06 |
| 1841406550 | Anne Patterson Teague | Counselor | 397 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2007-05-16 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
Please comment or provide details below to improve the information on KIMBERLY ROCHELLE BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.