DR. SHANNON TRICE BLACK PH.D., LPC
NPI 1528448271
Counselor - Mental Health in Manakin Sabot, VA

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
1900 MANAKIN RD STE G, MANAKIN SABOT, VA 23103(804) 305-4642(804) 556-3624 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Trice Black Ph.d., Lpc NPPES

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

DR. SHANNON TRICE BLACK PH.D., LPC (NPI 1528448271) is an individual mental health provider in Manakin Sabot, Virginia, licensed in Virginia (0701003122) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528448271
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SHANNON TRICE BLACKCredential: PH.D., LPC
Location Address1900 MANAKIN RD STE GManakin Sabot, VA 23103-2252
Mailing Address1900 Manakin Rd, Suite GManakin Sabot, VA 23103-2252 · (804) 305-4642 · Fax (804) 556-3624
Fax(804) 556-3624
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 8, 2015
Last NPPES UpdateNovember 28, 2016
NPI 1528448271 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 VA · 0701003122
1900 MANAKIN RD STE G, Manakin Sabot, VA 23103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Trice Black Ph.d., Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668837964
PECOS Enrollment IDI20260508001154
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.

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 Shannon Black's NPI number?

The NPI number for Shannon Black is 1528448271. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Shannon Black located?

Shannon Black practices at 1900 Manakin Rd Ste G, Manakin Sabot, VA 23103. The listed phone number is (804) 305-4642.

What is Shannon Black's specialty?

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

Is Shannon Black enrolled in Medicare?

Yes. Shannon Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Black accept?

Health plans from Providence Health Plan list Shannon 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 Shannon Black was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.