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BOBBY LEE BLACK CADC-1, CRM, QMHA-R
NPI 1043828619
Counselor - Addiction (Substance Use Disorder) in Klamath Falls, OR

Active since July 20, 2020
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603(541) 884-5244 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Feb 16, 2022, Oct 21, 2021 and 2 more (5 updates tracked since 2020).

About Bobby Lee Black Cadc-1, Crm, Qmha-r NPPES

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

BOBBY LEE BLACK CADC-1, CRM, QMHA-R (NPI 1043828619) is an individual addiction (substance use disorder) provider in Klamath Falls, Oregon and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1043828619
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBOBBY LEE BLACKCredential: CADC-1, CRM, QMHA-R
Location Address3647 HIGHWAY 39Klamath Falls, OR 97603-2612
Mailing Address3647 Highway 39Klamath Falls, OR 97603-2612 · (541) 884-5244
Phone(541) 884-5244
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateMay 8, 20245 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1043828619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
3647 HIGHWAY 39, Klamath Falls, OR 97603
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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.

DAWN ESTHER PETERSON
Peer Specialist
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 887-8881
ANAYELI MARTINEZ
Technician, Other
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
JOSEPH MARQUEZ
Technician
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
GAIL SEARFOSS
Technician
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
FRED JAMES BROWN III
Technician
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
ANDREA CORINE MCCLEERY
Peer Specialist
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
MELISSA V HANSEN
Peer Specialist
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244
SHEENA MICHELLE GENTRY
Technician, Other
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603
Klamath County (541) 884-5244

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 Bobby Black's NPI number?

The NPI number for Bobby Black is 1043828619. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Bobby Black located?

Bobby Black practices at 3647 Highway 39, Klamath Falls, OR 97603. The listed phone number is (541) 884-5244.

What is Bobby Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bobby Black was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.