MRS. THERESA L BLACK (NPI# 1376802397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376802397 |
| Entity Type | Individual |
| Full Name | MRS. THERESA L BLACK |
| Credential | LPC, NCC, ACS |
| Practice Address |
333 Irving Ave Capc First Floor Bridgeton NJ 08302-2123 |
| Practice Telephone | 8565754196 |
| Practice Fax Number | 8565755071 |
| Mailing Telephone | 8565754196 |
| Mailing Fax Number | 8565755071 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00324200 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3674509 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992289607 | Theresa Black | Marriage & Family Therapist | 2011 S El Camino Real, San Clemente, CA 92672-3277 | 2018-09-18 |
| 1568694248 | Theresa Joy Black | Social Worker | 1592 Granville Pike, Lancaster, OH 43130-1076 | 2009-08-14 |
| Street Address |
333 IRVING AVE CAPC FIRST FLOOR |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679527626 | Inspira Medical Centers, Inc. | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2100 | 2006-05-22 |
| 1366080095 | Delia Lorraine Bancroft | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2019-12-12 |
| 1336794312 | Inspira Medical Centers, Inc. | Rehabilitation, Substance Use Disorder Unit | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2019-08-06 |
| 1831687631 | Allison M Lant | Social Worker | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2018-04-26 |
| 1548775745 | Vicky Tomlin | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-12-11 |
| 1689183709 | Cumberland County Guidance Center | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-09-20 |
| 1205355237 | Jessica Hayes | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-09-11 |
| 1306367321 | Anna Marks | Registered Nurse | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-06-29 |
| 1750829859 | David Lawrence Spuler | Marriage & Family Therapist | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-02-08 |
| 1639613649 | Sprague Dialysis LLC | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2016-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555782 | Cecilia Dominique Carter | Counselor | 3751 Pennridge Dr Ste 113, Bridgeton, MO 63044-1244 | 2019-06-05 |
| 1578126132 | Jazell Dailey Thomas | Counselor | 11520 Saint Charles Rock Rd Ste 103, Bridgeton, MO 63044-2732 | 2019-04-19 |
| 1841799459 | Robin S Moore-chambers | Counselor | 11520 Saint Charles Rock Rd Ste 215, Bridgeton, MO 63044-2732 | 2018-02-09 |
| 1487180048 | Stacy Rowlett | Counselor | 3548 Yellow Jasmine Dr, Bridgeton, MO 63044-3192 | 2017-05-02 |
| 1770028193 | Emily Mcleod | Counselor | 12301 Depaul Dr., Bridgeton, MO 63044 | 2016-12-20 |
| 1568870335 | Danielle White | Counselor | 3435 Bridgeland Dr, Suite B, Bridgeton, MO 63044-2638 | 2014-07-24 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1679750798 | Kandy M Smith | Counselor | 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244 | 2008-01-31 |
| 1255462586 | Deborah Kay Peters | Counselor | 11300 Saint Charles Rock Rd, Bridgeton, MO 63044-2721 | 2007-03-08 |
| 1275132771 | Amber Wilson | Counselor | 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244 | 2020-10-26 |
| Find all providers in BRIDGETON | ||||
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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.