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SHONTERRIUS BLACK
NPI 1417682188
Case Manager/Care Coordinator in Jackson, MS

Active since July 18, 2022
4780 I 55 N STE 105, JACKSON, MS 39211(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shonterrius Black NPPES

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

SHONTERRIUS BLACK (NPI 1417682188) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1417682188
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHONTERRIUS BLACK
Location Address4780 I 55 N STE 105Jackson, MS 39211-5542
Mailing Address4780 I 55 N Ste 105Jackson, MS 39211-5542 · (601) 956-4816 · Fax (601) 956-4817
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1417682188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4780 I 55 N STE 105, Jackson, MS 39211
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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.

DONNA MURRY
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
GERTRICA HARRIS
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ELVIA HERNANDEZ
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
SHOMEKA DAY
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
STEPHANIE COLLUM
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
SYLVIA DAVIS
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
RODNEY REED
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ALTHEA ROBINSON-SWINT
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816

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 Shonterrius Black's NPI number?

The NPI number for Shonterrius Black is 1417682188. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Shonterrius Black located?

Shonterrius Black practices at 4780 I 55 N Ste 105, Jackson, MS 39211. The listed phone number is (601) 956-4816.

What is Shonterrius Black's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shonterrius Black was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.