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

Katie Linn Kelly Black, LPC

Individual provider Professional Counselor · NPI 1588426803

Katie Linn Kelly Black, LPC is a Professional Counselor in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

650 Ashport Rd
Jackson, TN 38305-7327
Phone: (731) 431-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6968 (TN)

Record details

NPI number1588426803
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 24, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

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