MR. BRENT MATTHEW BLACK LPC
NPI 1861580375
Counselor - Professional in Okmulgee, OK

Active since October 10, 2006
114 N GRAND AVE, SUITE 419, OKMULGEE, OK 74447(918) 756-9411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brent Matthew Black Lpc NPPES

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

MR. BRENT MATTHEW BLACK LPC (NPI 1861580375) is an individual professional provider in Okmulgee, Oklahoma, licensed in Oklahoma (3251) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861580375
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRENT MATTHEW BLACKCredential: LPC
Location Address114 N GRAND AVE, SUITE 419Okmulgee, OK 74447-4013
Mailing Address4105 W Elgin StBroken Arrow, OK 74012-8621 · (918) 806-1423
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861580375 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 OK · 3251
114 N GRAND AVE, Okmulgee, OK 74447

Other Providers at the Same Location NPPES 7

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

Dermatology
114 N GRAND AVE, SUITE 508
OKMULGEE, OK 74447
Counselor
114 N GRAND AVE, SUITE 406
OKMULGEE, OK 74447
Counselor (Addiction (Substance Use Disorder))
114 N GRAND AVE
OKMULGEE, OK 74447
Specialist
114 N GRAND AVE, SUITE 418
OKMULGEE, OK 74447
Counselor
114 N GRAND AVE, 306
OKMULGEE, OK 74447
Dermatology
114 N GRAND AVE, SUITE 508
OKMULGEE, OK 74447
Case Manager/Care Coordinator
114 N GRAND AVE, STE.512
OKMULGEE, OK 74447

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 Brent Black's NPI number?

The NPI number for Brent Black is 1861580375. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Brent Black located?

Brent Black practices at 114 N Grand Ave Suite 419, Okmulgee, OK 74447. The listed phone number is (918) 756-9411.

What is Brent 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 Brent Black was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.