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RHONDA BLACK AA, AAC
NPI 1124714613
Peer Specialist in Longview, WA

Active since April 17, 2023
748 14TH AVE, LONGVIEW, WA 98632(360) 200-5419(360) 200-6736 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rhonda Black Aa, Aac NPPES

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

RHONDA BLACK AA, AAC (NPI 1124714613) is an individual peer specialist in Longview, Washington, licensed in Washington (61431465) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1124714613
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameRHONDA BLACKCredential: AA, AAC
Location Address748 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 200-5419
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1124714613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · 61431465
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
748 14TH AVE, Longview, WA 98632
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Other Names 1

Former Name (1)Rhonda Mannen

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.

MARENA BERISHEV
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
RACHEL A GAINES SUDP
Counselor (Addiction (Substance Use Disorder))
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CASSIDY JOHNSTON
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MISTY DAWN REED AAC, CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KAYLEE MOE CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MS. KIMBERLEE MARIE SEALS SUDPT, AAC
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
AMANDA M KERSTETER MC, LMHC, MHP, CMHS
Counselor (Mental Health)
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
BALENDA J FRIEZE
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419

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 Rhonda Black's NPI number?

The NPI number for Rhonda Black is 1124714613. It was assigned to this individual provider in the NPPES registry on April 17, 2023. The provider is also known as Rhonda Mannen.

Where is Rhonda Black located?

Rhonda Black practices at 748 14th Ave, Longview, WA 98632. The listed phone number is (360) 200-5419.

What is Rhonda Black's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Rhonda Black was last updated on April 17, 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.