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SUSAN EASTON BLACK
NPI 1003175183
Counselor - Professional in Provo, UT

Active since May 10, 2012
1190 N 900 E, PROVO, UT 84604(801) 422-7620(801) 422-0165 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Easton Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN EASTON BLACK (NPI 1003175183) is an individual professional provider in Provo, Utah, licensed in Utah (8133414-2504) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1003175183
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN EASTON BLACK
Location Address1190 N 900 EProvo, UT 84604-3536
Mailing Address1190 N 900 EProvo, UT 84604-3536 · (801) 422-7620 · Fax (801) 422-0165
Phone(801) 422-7620
Fax(801) 422-0165
Sole ProprietorNo
Enumeration DateMay 10, 2012
✔ NPI 1003175183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in UT · 8133414-2504
1190 N 900 E, Provo, UT 84604
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMBREE HASSELL
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Utah County (385) 349-5001
PROF. BENJAMIN MCKAY OGLES PHD
Psychologist (Clinical)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-8193
DR. ELAINE WALTON PHD
Social Worker (Clinical)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 228-7125
BYU SPEECH AND LANGUAGE CLINIC
Clinic/Center (Hearing and Speech)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-5117
DR. LAUREN ALYSSA BARNES LMFT
Marriage & Family Therapist
1190 N 900 E, 274 TLRB- BYU
PROVO, UT 84604
Utah County (801) 422-3889
MRS. ANN LEILANI NGATAI
Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-7620
MAXWELL HEYBORNE
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Utah County (385) 349-5001
MRS. ALEXANDRA MICHELLE TAYLOR
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-7620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Black's NPI number?

The NPI number for Susan Black is 1003175183. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Susan Black located?

Susan Black practices at 1190 N 900 E, Provo, UT 84604. The listed phone number is (801) 422-7620.

What is Susan Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Susan Black was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.