SANDRA F BLACK (NPI# 1174765481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174765481 |
| Entity Type | Individual |
| Full Name | SANDRA F BLACK |
| Credential | LCSAC |
| Practice Address |
100 Old Sturgis Rd Ackerman MS 39735-6600 |
| Mailing Address |
302 N Jackson St P O Box 1188 Starkville MS 39759-2504 |
| Practice Telephone | 6622856225 |
| Practice Fax Number | 6622856226 |
| Mailing Telephone | 6623239261 |
| Mailing Fax Number | 6623249647 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2010-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527833 | Sandra Black | Homemaker | 1155 S Champion Ave, Columbus, OH 43206-3025 | 2014-07-25 |
| 1851514533 | Sandra Ra'chelle Black | Specialist/Technologist | 8217 Avenue U Apt 4208, Lubbock, TX 79423-3411 | 2007-04-11 |
| 1619992054 | Sandra L Black | Counselor | 4200 South Hulen Street, Suite 658, Fort Worth, TX 76109 | 2006-07-13 |
| 1437663432 | Sandra Black | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2017-11-29 |
| 1104206598 | Sandra Juel Black | Massage Therapist | 2052 N Cleveland Ave, Garden Suite, Chicago, IL 60614-4505 | 2015-06-01 |
| 1871793539 | Sandra Marie Black | Counselor | 1904 Richland Ave, Ceres, CA 95307-4562 | 2007-07-20 |
| 1740347020 | Sandra M Black | Psychologist | 37 Kings Rd, Suite 102, Madison, NJ 07940-2500 | 2007-01-03 |
| 1407803489 | Sandra E Black | Social Worker | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-05-27 |
| Street Address |
100 OLD STURGIS RD |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1063974137 | Reshundra Shaffer | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2019-04-05 |
| 1205325545 | Jeannette Ivy | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2018-05-02 |
| 1033615174 | Sharon Olive | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2018-04-05 |
| 1760807663 | Sarah Irvin | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2014-02-28 |
| 1508167420 | Reginald Gandy | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-11-09 |
| 1518297191 | Jan Ganann | Psychologist | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-01-05 |
| 1194050161 | Andrew Levine | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982122289 | Carroll Bruister IIi | Pharmacist | 222 Mabus, Ackerman, MS 39735 | 2017-09-07 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1508174525 | Choctaw County School District | Local Education Agency (LEA) | 19 E. Main St., Ackerman, MS 39735 | 2010-09-24 |
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| 1053503623 | Leanna Bryant Baker | Speech-Language Pathologist | 148 W Cherry St, Choctaw County Nursing Home, Ackerman, MS 39735 | 2007-08-16 |
| 1568502300 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 148 West Cherry Street, Ackerman, MS 39735 | 2007-02-08 |
| 1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
| 1689726283 | Jackie Felda Jones Jr. | Dentist | 11 North Louisville St, Ackerman, MS 39735 | 2007-01-17 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| 1922115401 | Angela Ann Hays | Nurse Practitioner | 148 W. Cherry St., Ackerman, MS 39735 | 2006-08-23 |
| Find all providers in zip 39735 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1114043924 | Region Vii Mh Mr Commission | Counselor | 302 Chester St, Ackerman, MS 39735-9164 | 2007-03-22 |
| 1063974137 | Reshundra Shaffer | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2019-04-05 |
| 1205325545 | Jeannette Ivy | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2018-05-02 |
| 1033615174 | Sharon Olive | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2018-04-05 |
| 1760807663 | Sarah Irvin | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2014-02-28 |
| 1508167420 | Reginald Gandy | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-11-09 |
| 1194050161 | Andrew Levine | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134868 | Charsie Duvall | Counselor | 1302 Pleasant Grove Chapparal Rd, Waynesboro, MS 39367-7415 | 2020-11-02 |
| 1356940977 | Joy Wheeler | Counselor | 8631 Pigeon Roost Rd, Olive Branch, MS 38654-1298 | 2020-10-23 |
| 1427655364 | Nurturing Hands | Counselor | 296 Beauvoir Rd Ste 100-156, Biloxi, MS 39531-4051 | 2020-10-05 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1245846807 | Rochelle Grice | Counselor | 6871 Wrenwood Dr, Horn Lake, MS 38637-7710 | 2020-09-18 |
| 1265047237 | Tori Weatherspoon | Counselor | Timber Hills Mental Health Services, 2441- A Co Rd 501, Ripley, MS 38663 | 2020-09-15 |
| 1629681531 | Kayla Denea White | Counselor | 6 Professional Pkwy, Ridgeland, MS 39157-4113 | 2020-08-28 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1477179315 | Fredna Leigh Georgen | Counselor | 615 Highway 469 N, Florence, MS 39073-8928 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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| 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.