ASHLEY NICOLE BLACK (NPI# 1265043582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265043582 |
| Entity Type | Individual |
| Full Name | ASHLEY NICOLE BLACK |
| Practice Address |
1401 Chestnut St Kenova WV 25530-1235 |
| Practice Telephone | 3044532800 |
| Practice Fax Number | 3044532820 |
| Mailing Telephone | 3044532800 |
| Mailing Fax Number | 3044532820 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810024363 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471705 | Ashley Jeane Black | Physician Assistant | 107 Lebsl Ct, Summerville, SC 29483-7552 | 2019-08-09 |
| 1124644000 | Ashley Black | Behavior Technician | 3428 W Market St, Fairlawn, OH 44333-3339 | 2020-06-17 |
| 1679197743 | Ashley Myra Black | Behavior Technician | 1413 Tech Blvd Ste 122, Tampa, FL 33619-7822 | 2020-06-03 |
| 1750854527 | Ashley Black | Occupational Therapy Assistant | 425 Westminster Ave, Hanover, PA 17331-9141 | 2019-01-04 |
| 1801365234 | Ashley Nicole Black | Speech-Language Pathologist | 27 St Lawrence Dr Ste 104, Tiffin, OH 44883-8313 | 2018-11-14 |
| 1568961449 | Ashley Nicole Black | Behavior Technician | 290 S Alma School Rd, Chandler, AZ 85224-7632 | 2018-02-06 |
| 1841701075 | Ashley Black | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2017-10-16 |
| 1700328333 | Ashley Black | Counselor | 10030 Park Cedar Dr, 200, Charlotte, NC 28210-8918 | 2016-11-14 |
| 1447695663 | Ashley Elizabeth Black | Anesthesiology | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2013-05-01 |
| 1679823306 | Ashley Nicole Black | Nurse Practitioner | 191 Wal Mart Way, Maysville, KY 41056-7518 | 2012-09-10 |
| Street Address |
1401 CHESTNUT ST |
| City | KENOVA |
| State | WV |
| Zip Code | 25530-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265782395 | Diversified Assessment & Therapy Services | Community/Behavioral Health | 1401 Chestnut St, Kenova, WV 25530-1235 | 2012-09-17 |
| 1255942579 | Judith C Banfi | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-11 |
| 1043821374 | Emily L Miller | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-11 |
| 1063023398 | Kalee Tyler Branham | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-11 |
| 1588274385 | Lauren Jade Spurlock | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-06 |
| 1598125916 | Cynthia Reid | Speech-Language Pathologist | 1401 Chestnut St, Kenova, WV 25530-1235 | 2016-02-26 |
| 1073951893 | Gina Bellomy | Occupational Therapist | 1401 Chestnut St, Kenova, WV 25530-1235 | 2013-06-14 |
| 1063859106 | Cynthia Swalley | Speech-Language Pathologist | 1401 Chestnut St, Kenova, WV 25530-1235 | 2013-05-30 |
| 1679824635 | Nathel Lewis | Behavioral Analyst | 1401 Chestnut St, Kenova, WV 25530-1235 | 2012-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396121 | Amanda Carter | Technician | 1624 Beech St, Kenova, WV 25530 | 2019-10-03 |
| 1063928026 | Robert Mckinley Ross | Technician | 2100 Sycamore Street, Kenova, WV 25530 | 2017-12-28 |
| 1801280011 | Michels' Counseling and Consulting | Community/Behavioral Health | 4600 A Rt 152, Wayne, WV 25530 | 2015-03-25 |
| 1104047000 | Rita M. Vaughn | Counselor | 802 Oak St, Kenova, WV 25530 | 2007-05-01 |
| 1598823684 | Sandi Kiser Griffith | Psychologist | 748 Beech St, Kenora, WV 25530 | 2006-12-04 |
| 1174611818 | Elizabeth Marilynn Feltner | Podiatrist | 1102 Poplar Street, Kenova, WV 25530 | 2006-10-10 |
| 1366093676 | Jamie Lowe | Technician | 1218 Chestnut St, Kenova, WV 25530 | 2019-09-27 |
| 1043706484 | Contemplations Behavioral Health Services Ltd. Co. | Counselor | 802 Oak St, Kenova, WV 25530 | 2018-07-09 |
| 1417462896 | Carol Kay Fuller | Technician | 925 Chestnut Street, Kenova, WV 25530 | 2017-12-07 |
| 1215171475 | Larry Eugene Smith Jr. | Physical Therapy Assistant | 1612 Oak St, Kenova, WV 25530-1118 | 2009-04-30 |
| Find all providers in zip 25530 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134398548 | Angela Dawn Price | Case Manager/Care Coordinator | 13a Hidden Vly, Kenova, WV 25530-9787 | 2008-02-29 |
| 1255942579 | Judith C Banfi | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-11 |
| 1043821374 | Emily L Miller | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-11 |
| 1063023398 | Kalee Tyler Branham | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-11 |
| 1588274385 | Lauren Jade Spurlock | Case Manager/Care Coordinator | 1401 Chestnut St, Kenova, WV 25530-1235 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194647 | Carol Garten | Case Manager/Care Coordinator | 248 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1349 | 2020-11-06 |
| 1659972552 | Khadijah Abdul-wahid | Case Manager/Care Coordinator | 910 Princeton Ave Apt 201, Bluefield, WV 24701-3100 | 2020-11-06 |
| 1942801014 | Ashley Bragg | Case Manager/Care Coordinator | 259 Maplewood Ln, Beaver, WV 25813-9341 | 2020-11-05 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679261 | Steven Thomas | Case Manager/Care Coordinator | 142 White Rose Dr, Daniels, WV 25832-9135 | 2020-11-02 |
| 1255931945 | Ami Moffo | Case Manager/Care Coordinator | 12 Carolina Ave, Beech Bottom, WV 26030-1006 | 2020-10-30 |
| 1023618576 | Julianna Christine Hayden | Case Manager/Care Coordinator | 3501 Winchester Avenue, Martinsburg, WV 25405-3187 | 2020-10-26 |
| 1063011781 | Judy E Grose | Case Manager/Care Coordinator | 3873 Maple Acres Rd, Bluefield, WV 24701-5055 | 2020-10-23 |
| 1326647207 | Carrie Stranko | Case Manager/Care Coordinator | 444 White Ave, Morgantown, WV 26501-6663 | 2020-10-21 |
| 1629677695 | Taylor Martin | Case Manager/Care Coordinator | 86 E Main St Ste B, Buckhannon, WV 26201-2864 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ASHLEY NICOLE 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.