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

Dr. Shannon Trice Black, PHD, LPC

Individual provider Mental Health Counselor · NPI 1528448271

Dr. Shannon Trice Black, PHD, LPC is a Mental Health Counselor in Manakin Sabot, Virginia. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1900 Manakin Rd Ste G
Manakin Sabot, VA 23103-2252
Phone: (804) 305-4642
Fax: (804) 556-3624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701003122 (VA)

Record details

NPI number1528448271
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC
Sole proprietorYes
NPI enumeratedJune 8, 2015
Last updated in NPPESNovember 28, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare