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RUSTY BLACK
NPI 1871432690
Counselor - Mental Health in Gulf Breeze, FL

Active since March 26, 2026
350 PENSACOLA BEACH RD, GULF BREEZE, FL 32561(833) 551-2304 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Rusty Black NPPES

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

RUSTY BLACK (NPI 1871432690) is an individual mental health provider in Gulf Breeze, Florida, licensed in Florida (27272) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1871432690
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRUSTY BLACK
Location Address350 PENSACOLA BEACH RDGulf Breeze, FL 32561-4815
Mailing Address350 Pensacola Beach RdGulf Breeze, FL 32561-4815 · (833) 551-2304
Phone(833) 551-2304
Sole ProprietorYes
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1871432690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 27272
350 PENSACOLA BEACH RD, Gulf Breeze, FL 32561
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Other Providers at the Same Location NPPES 6

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

GEARLYN MICHELLE STAGGS RN
Registered Nurse (General Practice)
350 PENSACOLA BEACH RD
GULF BREEZE, FL 32561
Santa Rosa County (850) 934-0790
MONICA LEE HICKS KEY RN
Registered Nurse (Addiction (Substance Use Disorder))
350 PENSACOLA BEACH RD
GULF BREEZE, FL 32561
Santa Rosa County (850) 934-0790
GULF BREEZE TREATMENT CENTER
Substance Abuse Rehabilitation Facility
350 PENSACOLA BEACH RD
GULF BREEZE, FL 32561
Santa Rosa County (850) 934-0790
CASI G PARMER RN
Registered Nurse
350 PENSACOLA BEACH RD
GULF BREEZE, FL 32561
Santa Rosa County (850) 209-9012
NICOLE MARIE WILLIAMS RN
Registered Nurse (Addiction (Substance Use Disorder))
350 PENSACOLA BEACH RD
GULF BREEZE, FL 32561
Santa Rosa County (850) 934-0790
HEATHER SWORDS RN
Registered Nurse (Case Management)
350 PENSACOLA BEACH RD
GULF BREEZE, FL 32561
Santa Rosa County (833) 551-2304

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 Rusty Black's NPI number?

The NPI number for Rusty Black is 1871432690. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Rusty Black located?

Rusty Black practices at 350 Pensacola Beach Rd, Gulf Breeze, FL 32561. The listed phone number is (833) 551-2304.

What is Rusty Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rusty Black was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.