MR. JASON OLIVER BLACK L.P.A., L.C.A.S
NPI 1194097022
Counselor - Addiction (Substance Use Disorder) in Wilmington, NC

Active since February 08, 2012
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 341-5779 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jason Oliver Black L.p.a., L.c.a.s NPPES

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

MR. JASON OLIVER BLACK L.P.A., L.C.A.S (NPI 1194097022) is an individual addiction (substance use disorder) provider in Wilmington, North Carolina, licensed in North Carolina (LCAS 3014) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1194097022
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JASON OLIVER BLACKCredential: L.P.A., L.C.A.S
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 341-5779
Fax(910) 341-5779
Sole ProprietorNo
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJanuary 27, 2016
NPI 1194097022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · LCAS 3014
Also ListedPsychologistTaxonomy 103T00000X · License 4360 (NC)
615 SHIPYARD BLVD, Wilmington, NC 28412

Accepted Insurance

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.

Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412

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 Jason Black's NPI number?

The NPI number for Jason Black is 1194097022. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Jason Black located?

Jason Black practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Jason Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Jason Black accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Jason Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Black was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.