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Dr. Nicole Black, PHD, Lpc-S, Lcdc, Rpt PLLC

NPI 1780270173ActiveOrganization· Counselor, Professional· Lubbock, TX

Counselor, Professional in Lubbock, Texas, registered in NPPES in December 2020. The authorized official on file is Nicole Black, PHD, LPC-S, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1780270173
StatusActive
Entity typeOrganization
NPI issuedDec 18, 2020
Last updated in NPPESJun 7, 2025
Certified by providerJun 7, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Professional Primary101YP2500X——
Social Worker, Clinical1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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