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ALICIA GRACE BLACK
NPI 1063810828
Counselor - Mental Health in Jasper, OR

Active since December 10, 2014
37875 JASPER LOWELL RD, JASPER, OR 97438(541) 747-1235(541) 747-4722 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia Grace Black NPPES

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

ALICIA GRACE BLACK (NPI 1063810828) is an individual mental health provider in Jasper, Oregon and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1063810828
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICIA GRACE BLACK
Location Address37875 JASPER LOWELL RDJasper, OR 97438-9751
Mailing Address37875 Jasper Lowell RdJasper, OR 97438-9751 · (541) 747-1235 · Fax (541) 747-4722
Phone(541) 747-1235
Fax(541) 747-4722
Sole ProprietorNo
Enumeration DateDecember 10, 2014
✔ NPI 1063810828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
37875 JASPER LOWELL RD, Jasper, OR 97438
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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.

MRS. JULIE ENGEL B.A., QMHA
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
SARA JANE BELLAMY BS
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
TORIANA MAHAFFIE
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
KATRINA S WELCH
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
MS. TREVECCA WINTERS AAOT
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
MRS. JOYCE ZIEGLER B.A., QMHA
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
KATELYNN SALLEE
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
MIKA MAII
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235

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 Alicia Black's NPI number?

The NPI number for Alicia Black is 1063810828. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Alicia Black located?

Alicia Black practices at 37875 Jasper Lowell Rd, Jasper, OR 97438. The listed phone number is (541) 747-1235.

What is Alicia Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Alicia Black was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.