ERIN BLACK (NPI# 1912519349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912519349 |
| Entity Type | Individual |
| Full Name | ERIN BLACK |
| Practice Address |
90 E 200 N Logan UT 84321-4034 |
| Mailing Address |
835 W 720 N Tremonton UT 84337-2413 |
| Practice Telephone | 4357520750 |
| Mailing Telephone | 4355125686 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107544 | Erin F Black | Physical Therapist | 2300 Bluff Oak Way Apt 5104, Tallahassee, FL 32311-6129 | 2020-02-28 |
| 1194174664 | Erin Black | Contractor | 20105 Sw Walquin Ct, Aloha, OR 97078-3704 | 2016-06-06 |
| 1881944437 | Erin Ricard Black | Occupational Therapy Assistant | 101 13th Street, Huntington, WV 25701 | 2012-09-11 |
| 1700156007 | Erin L Black | Counselor | 426 14th St Ste 119, Modesto, CA 95354-2661 | 2012-01-04 |
| 1457412702 | Erin Mary Black | Massage Therapist | 9015 Holman Rd Nw Ste 3, Seattle, WA 98117-3481 | 2006-12-12 |
| 1912465774 | Erin M Black | Counselor | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2019-03-11 |
| 1447782842 | Erin Carroll Black | Internal Medicine | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2017-04-03 |
| 1275070344 | Erin Black | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2017-01-26 |
| 1659712933 | Erin Black | Nurse Practitioner | 5281 Cleveland Hwy, Clermont, GA 30527-2205 | 2013-07-15 |
| 1831419068 | Erin Lessner Black | Ophthalmology | 109 Fleetwood Dr Ste B, Easley, SC 29640 | 2010-06-10 |
| Street Address |
90 E 200 N |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285736553 | Bear River Mental Health Services Inc | Counselor | 90 E 200 N, Logan, UT 84321-4034 | 2006-09-05 |
| 1740887355 | Amber Christine Guerrero | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-06 |
| 1417554395 | Sophie Victoria Hancey | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-05 |
| 1891392080 | Toni Brooke Dunsmore | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-01 |
| 1588271266 | Logan Christensen | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-28 |
| 1912512120 | Rebecca Freeman | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-14 |
| 1821603374 | Veronica Helen Sullivan | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-11 |
| 1881207512 | Landon Carter | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-24 |
| 1528671260 | Galen Perry Huffcutt | Peer Specialist | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-24 |
| 1144832114 | Brian Christopher Sessions | Social Worker | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
| Find all providers in zip 84321 | ||||
| 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 |
|---|---|---|---|---|
| 1255861894 | Victoria Davila | Case Manager/Care Coordinator | 1350 N 500 E Fl 2, Logan, UT 84341-2400 | 2017-06-15 |
| 1548507932 | Brian Howard Hess | Case Manager/Care Coordinator | 747 E 900 N Apt 50, Logan, UT 84321-6106 | 2013-01-06 |
| 1235372160 | April Michelle Dunafon | Case Manager/Care Coordinator | 1150 Fox Farm Rd, Logan, UT 84321-4808 | 2009-04-08 |
| 1740887355 | Amber Christine Guerrero | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-06 |
| 1417554395 | Sophie Victoria Hancey | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-05 |
| 1891392080 | Toni Brooke Dunsmore | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-10-01 |
| 1588271266 | Logan Christensen | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-28 |
| 1912512120 | Rebecca Freeman | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-14 |
| 1821603374 | Veronica Helen Sullivan | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-09-11 |
| 1881207512 | Landon Carter | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2020-08-24 |
| Find all providers in LOGAN | ||||
Please comment or provide details below to improve the information on ERIN 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.