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

Q: What is Sandra Black's NPI number?

The NPI number for Sandra Black is 1619992054. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Sandra 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 Sandra Black was last updated on October 27, 2015. 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 13, 2006

4200 SOUTH HULEN STREET, SUITE 658, FORT WORTH, TX 76109(817) 673-3999(817) 570-0370 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Sandra L Black Ma, Lpc NPPES

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

MR. SANDRA L BLACK MA, LPC (NPI 1619992054) is an individual professional provider in Fort Worth, Texas, licensed in Texas (LPC13288) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619992054

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMR. SANDRA L BLACKCredential: MA, LPC

Location Address4200 SOUTH HULEN STREET, SUITE 658Fort Worth, TX 76109

Mailing Address4200 South Hulen Street, Suite 658Fort Worth, TX 76109 · (817) 673-3999 · Fax (817) 570-0370

Phone(817) 673-3999

Fax(817) 570-0370

Sole ProprietorYes

Enumeration DateJuly 13, 2006

Last NPPES UpdateOctober 27, 2015

✔ NPI 1619992054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in TX · LPC13288✔ Licensed in TX · 13288

4200 SOUTH HULEN STREET, Fort Worth, TX 76109

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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 Sandra Black's NPI number?

The NPI number for Sandra Black is 1619992054. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Sandra Black located?

Sandra Black practices at 4200 South Hulen Street Suite 658, Fort Worth, TX 76109. The listed phone number is (817) 673-3999.

What is Sandra Black's specialty?

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

When was this NPI record last updated?

The NPPES record for Sandra Black was last updated on October 27, 2015. 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.