1. Home
  2. Directory
  3. Washington
  4. Mt Vernon
  5. Marriage Family Therapist
  6. NPI Profile

STACY ANNE BLACK
NPI 1104320480
Marriage & Family Therapist in Mt. Vernon, WA

Active since March 21, 2018
2301 OLD HWY 99, MT. VERNON, WA 98273(360) 398-5444 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Anne Black NPPES

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

STACY ANNE BLACK (NPI 1104320480) is an individual marriage & family therapist in Mt. Vernon, Washington, licensed in Washington (MG60835827) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1104320480
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTACY ANNE BLACK
Location Address2301 OLD HWY 99Mt. Vernon, WA 98273
Mailing Address18092 Montborne RdMount Vernon, WA 98274-8154 · (618) 979-0626
Phone(360) 398-5444
Sole ProprietorNo
Enumeration DateMarch 21, 2018
✔ NPI 1104320480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · MG60835827
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2301 OLD HWY 99, Mt. Vernon, WA 98273
Open in Google Maps ↗

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 Stacy Black's NPI number?

The NPI number for Stacy Black is 1104320480. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Stacy Black located?

Stacy Black practices at 2301 Old Hwy 99, Mt. Vernon, WA 98273. The listed phone number is (360) 398-5444.

What is Stacy Black's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Stacy Black was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.