1. Home
  2. Directory
  3. North Carolina
  4. Concord
  5. Counselor
  6. NPI Profile

MARISA BLACK
NPI 1629315429
Counselor in Concord, NC

Active since January 14, 2013
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025(704) 939-1100(704) 939-1173 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marisa Black NPPES

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

MARISA BLACK (NPI 1629315429) is an individual counselor in Concord, North Carolina and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1629315429
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARISA BLACK
Location Address284 EXECUTIVE PARK DR, SUITE 100Concord, NC 28025-1831
Mailing Address284 Executive Park Dr, Suite 100Concord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 939-1100
Fax(704) 939-1173
Sole ProprietorNo
Enumeration DateJanuary 14, 2013
✔ NPI 1629315429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
284 EXECUTIVE PARK DR, Concord, NC 28025
Open in Google Maps ↗

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.

KATIE EVETT HUNEYCUTT MSW, LCSWA
Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
BRIDGETTE JEANNINE ANDERSON
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
HEATHER TAVELLA LPC, LCAS, CS-I, NCC
Counselor (Professional)
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Cabarrus County (704) 939-1000
STEWART C. MCANALLY LCSW
Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
MARGARET A HAIRSTON RN, BSN
Registered Nurse
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Cabarrus County (704) 939-1118
ANISSA LACKEY LPN
Licensed Practical Nurse
284 EXECUTIVE PARK DR, STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
JESSICA LYNN REDISH M.S./ED.S.
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 986-2117
MRS. JESSICA MORRISON DILL LCAS, LPC, CCSI
Counselor (Addiction (Substance Use Disorder))
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1118

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 Marisa Black's NPI number?

The NPI number for Marisa Black is 1629315429. It was assigned to this individual provider in the NPPES registry on January 14, 2013.

Where is Marisa Black located?

Marisa Black practices at 284 Executive Park Dr Suite 100, Concord, NC 28025. The listed phone number is (704) 939-1100.

What is Marisa Black's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Marisa Black was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.