Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEATON A EVANS-BLACK
NPI 1144156431
Counselor - Mental Health in Indianapolis, IN

Q: What is Keaton Evans-black's NPI number?

The NPI number for Keaton Evans-black is 1144156431. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Q: What is Keaton Evans-black's specialty?

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

Active since June 23, 2026PECOS Enrolled

720 ESKENAZI AVE, INDIANAPOLIS, IN 46202(317) 880-0000 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keaton A Evans-black NPPES

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

KEATON A EVANS-BLACK (NPI 1144156431) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39005390A) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144156431

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEATON A EVANS-BLACK

Location Address720 ESKENAZI AVEIndianapolis, IN 46202-5187

Mailing Address930 S Adams St Apt 14Bloomington, IN 47403-2134 · (765) 461-3384

Phone(317) 880-0000

Sole ProprietorNo

Enumeration DateJune 23, 2026

Last NPPES UpdateJuly 7, 2026

NPPES CertifiedJuly 7, 2026

✔ NPI 1144156431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IN · 39005390A

720 ESKENAZI AVE, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keaton A Evans-black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. ALEXIS A DAVIS LCSW

Marriage & Family Therapist