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

Laura Black

Individual provider Mental Health Counselor · NPI 1043695927

Laura Black is a Mental Health Counselor in Bowling Green, Kentucky. Qualified in 2011, 15 years ago. Practices with Lifeskills, Inc, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
15
Licensed in
KY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone: (270) 901-5000
Fax: (270) 842-5268
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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 171471 (KY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1043695927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address380 Suwannee Trail St., Bowling Green, KY 42101

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lifeskills, Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bowling Green