Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003175183 Individual Practitioner Female Practitioner

Susan Easton Black

Counselor - Professional • Provo, UT

Professional Overview & Biography Verified Profile Summary

Susan Black is a registered healthcare professional specializing in Counselor - Professional in Provo, UT. Practice services are available at 1190 N 900 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 N 900 E

Provo, UT 846043536

Telephone 8014227620
Fax 8014220165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
25 Specialists

Practicing in Provo, UT (520 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 8133414-2504

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mark Mauzy , MS

Marriage & Family Therapist

NPI 1033421847

Master of Science

Brigham Young

Social Worker - Clinical

NPI 1053721399
Dr. Richard Miller , PhD

Marriage & Family Therapist

NPI 1134334253

Doctor of Philosophy (Ph.D.)

Dr. Laura Dixon , PhD

Psychologist - Counseling

NPI 1194294090

Doctor of Philosophy (Ph.D.)

Ann Ngatai

Counselor - Professional

NPI 1215401310
Alexandra Taylor

Student in an Organized Health Care Education/Training Program

NPI 1235564147

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2012

Registered at 1190 N 900 E, PROVO, UT 846043536 (Tel: 8014227620)

📍
Updated Business Mailing Address May 10, 2012

Registered at 1190 N 900 E, PROVO, UT 846043536 (Tel: 8014227620)

👤
Provider Name / Credentials Updated May 10, 2012

Recorded as SUSAN BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2012

Counselor (License #8133414-2504 in UT)

🟢
Initial NPI Registration & Enumeration May 10, 2012

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: 1003175183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2012
Last Update: May 10, 2012
Sole Proprietor: No

Mailing Address

1190 N 900 E

Provo, UT 846043536

Phone: 8014227620

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.