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LAUREN BLACK BS
NPI 1124766597
Counselor - Professional in Pontiac, IL

Active since May 25, 2022
920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109(815) 844-3561 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2026, May 25, 2022 (2 updates tracked since 2022).

About Lauren Black Bs NPPES

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

LAUREN BLACK BS (NPI 1124766597) is an individual professional provider in Pontiac, Illinois, licensed in Illinois (180017973) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1124766597
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAUREN BLACKCredential: BS
Location Address920 W CUSTER AVEPontiac, IL 61764-1067
Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109 · Fax (815) 844-3561
Phone(815) 844-6109
Fax(815) 844-3561
Sole ProprietorNo
Enumeration DateMay 25, 2022
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1124766597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180017973
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
920 W CUSTER AVE, Pontiac, IL 61764
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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.

LAUREN WHITECOTTON BA
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
BRITTANY BARLOW MSW
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
SANDRA BOECKMANN LSW
Counselor (Addiction (Substance Use Disorder))
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
MELISSA SIDLER MHP
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
MEREDITH M SPRAGGON MHP
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
ALYSSA STEIN MHP
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
KATIE KENNEDY
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
JULIA EILEEN COTTER PEL
Speech-Language Pathologist
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-7115

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 Lauren Black's NPI number?

The NPI number for Lauren Black is 1124766597. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Lauren Black located?

Lauren Black practices at 920 W Custer Ave, Pontiac, IL 61764. The listed phone number is (815) 844-6109.

What is Lauren Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lauren Black was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.