Judith Ann Black, PHD, LPC, LCMHC, NCC
NPI 1003110198ActiveIndividual· Counselor, Professional· Fairmont, WV
Counselor, Professional (PHD, LPC, LCMHC, NCC) with Appalachian Counseling Center LLC, practicing in Fairmont, West Virginia. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1003110198 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LPC, LCMHC, NCC |
| Sole proprietor | Yes |
| NPI issued | Jan 4, 2011 |
| Last updated in NPPES | Mar 16, 2023 |
| Certified by provider | Mar 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 2278 | WV |
| Counselor, Professional | 101YP2500X | A8388 | NC |
| Counselor, Professional | 101YP2500X | 0701005401 | VA |
| Counselor, Professional | 101YP2500X | 275728 | NC |
| Counselor, Professional | 101YP2500X | 8388 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WV) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Appalachian Counseling Center LLCFairmont, WV · 20 clinicians
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