MR. JEFF BLACK MA, LPC
NPI 1548713217
Counselor - Professional in Southlake, TX

Q: What is Jeff Black's NPI number?

The NPI number for Jeff Black is 1548713217. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Q: What is Jeff Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeff Black was last updated on July 29, 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.

Active since July 29, 2016

578 N KIMBALL AVE, SUITE 130, SOUTHLAKE, TX 76092(817) 601-5877 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jeff Black Ma, Lpc NPPES

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

MR. JEFF BLACK MA, LPC (NPI 1548713217) is an individual professional provider in Southlake, Texas, licensed in Texas (69061) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1548713217

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JEFF BLACKCredential: MA, LPC

Location Address578 N KIMBALL AVE, SUITE 130Southlake, TX 76092-6883

Mailing Address578 N Kimball Ave, Suite 130Southlake, TX 76092-6883 · (817) 601-5877

Phone(817) 601-5877

Sole ProprietorYes

Enumeration DateJuly 29, 2016

✔ NPI 1548713217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 69061

578 N KIMBALL AVE, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMY CHRISTINE BADSTUBNER AU.D.

Audiologist

578 N KIMBALL AVE, SUITE 140
SOUTHLAKE, TX 76092

Tarrant County (817) 778-4934

ELITE AUDIOLOGY RESOURCES, PLLC

Audiologist

578 N KIMBALL AVE, SUITE 140
SOUTHLAKE, TX 76092

Tarrant County (817) 778-4934

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 Jeff Black's NPI number?

The NPI number for Jeff Black is 1548713217. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Jeff Black located?

Jeff Black practices at 578 N Kimball Ave Suite 130, Southlake, TX 76092. The listed phone number is (817) 601-5877.

What is Jeff Black's specialty?

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

What insurance does Jeff Black accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jeff 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 Jeff Black was last updated on July 29, 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.