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Active NPI 1457401945 Individual Practitioner Male Practitioner

John W Black , MS, LPA

Counselor - Professional • Georgetown, KY

Professional Overview & Biography Verified Profile Summary

John Black, MS, LPA is a certified Counselor - Professional practicing in Georgetown, KY. With approximately 34 years of clinical experience since completing medical education in 1992, John Black delivers high-quality medical care to the local community at 110 ROACH ST.

John Black does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

110 Roach St

Georgetown, KY 403249393

Telephone 8592531686
Fax 8592542743
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Georgetown, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +22.3 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Georgetown, KY (2199 Statewide)

Telehealth Adoption Rate
8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (34 Years) 34 Yrs
Georgetown Specialty Average (11.7 Years) 11.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License KY 241827

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30615058 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarah Ford

Counselor - Mental Health

NPI 1003103995
Monica Klampe

Community Health Worker

NPI 1003130170
Michael Stratton

Counselor - Mental Health

NPI 1003188723
NPI 1003194648

Licensed Clinical Social Worker

Teonna Wilson

Counselor - Mental Health

NPI 1003348319
Holly Dickison

Social Worker

NPI 1003405333

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Counselor (License #241827 in KY)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 110 ROACH ST, GEORGETOWN, KY 403249393 (Tel: 8592531686)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1351 NEWTOWN PIKE, LEXINGTON, KY 405111217 (Tel: 8592531686)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN BLACK, MS, LPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #423 in KY)

🟢
Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457401945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: July 22, 2026
Sole Proprietor: No

Mailing Address

1351 Newtown Pike

Lexington, KY 405111217

Phone: 8592531686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.