MR. SANDRA L BLACK MA, LPC
NPI 1619992054
Counselor - Professional in Fort Worth, TX

NPI Status: Active since July 13, 2006

Contact Information

4200 SOUTH HULEN STREET
SUITE 658
FORT WORTH, TX
ZIP 76109
Phone: (817) 673-3999
Fax: (817) 570-0370

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  • Individual
  • Female
  • Counselor
  • Professional

About SANDRA BLACK

This page provides the complete NPI Profile along with additional information for Sandra Black, a provider established in Fort Worth, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1619992054 assigned on July 2006. The practitioner's primary taxonomy code is 101YP2500X with license number LPC13288 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1619992054
Provider Name
MR. SANDRA L BLACK MA, LPC
Gender
Female
Entity Type
Individual
Location Address
4200 SOUTH HULEN STREET SUITE 658 FORT WORTH, TX 76109
Location Phone
(817) 673-3999
Location Fax
(817) 570-0370
Mailing Address
4200 SOUTH HULEN STREET SUITE 658 FORT WORTH, TX 76109
Mailing Phone
(817) 673-3999
Mailing Fax
(817) 570-0370
Is Sole Proprietor?
Yes
Enumeration Date
07-13-2006
Last Update Date
10-27-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC13288
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

13288 (TX)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619992054, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 8 + 9 + 4 + 0 + 1 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619992054.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619992054, enumerated as an "individual" on July 13, 2006.

The provider is located at 4200 SOUTH HULEN STREET SUITE 658 FORT WORTH, TX 76109 and the phone number is (817) 673-3999.

Counselor with taxonomy code 101YP2500X and a focus in Professional.