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KRYSTA BLACK
NPI 1063196046
Case Manager/Care Coordinator in Holland, MI

Active since June 12, 2023
12265 JAMES ST, HOLLAND, MI 49424(616) 393-5698 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krysta Black NPPES

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

KRYSTA BLACK (NPI 1063196046) is an individual case manager/care coordinator provider in Holland, Michigan and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1063196046
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKRYSTA BLACK
Location Address12265 JAMES STHolland, MI 49424-8613
Mailing Address12265 James StHolland, MI 49424-8613 · (616) 393-5698
Phone(616) 393-5698
Sole ProprietorYes
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1063196046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
12265 JAMES ST, Holland, MI 49424
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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.

SHERYL ANN MASCORRO RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
RHONDA MARIE RUTAN LLMSW
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MS. KATHLEEN D. SMITH PSYCHOLOGIST LLP
Psychologist (Intellectual and Developmental Disabilities)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MADISYN DEHORN
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
ALEXZANDRIA MCCRUM
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHERYL SCHUT LBSW
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
CHRISTINE A WILSON RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MANDI SCHEBOR
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5471

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 Krysta Black's NPI number?

The NPI number for Krysta Black is 1063196046. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Krysta Black located?

Krysta Black practices at 12265 James St, Holland, MI 49424. The listed phone number is (616) 393-5698.

What is Krysta Black's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Krysta Black was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.