Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clayton Black, LPC

Individual provider Mental Health Counselor · NPI 1033624317

Clayton Black, LPC is a Mental Health Counselor in Tucson, Arizona. Qualified in 2019, 7 years ago. Practices with Codac Health Recovery and Wellness, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1600 N Country Club Rd
Tucson, AZ 85716-3119
Phone: (520) 327-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8478 E Speedway Blvd Ste 300, Tucson, AZ 85710-1729 — (740) 243-2554

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-20575 (AZ)

Record details

NPI number1033624317
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 7, 2017
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address2201 N Rainbow Vista Dr, Tucson, AZ 85712-2912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Codac Health Recovery And Wellness — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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