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

Matthew David Black, LPC, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821509415

Matthew David Black, LPC, CDCA is an Addiction (Substance Use Disorder) Counselor in Mount Vernon, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone: (740) 397-7568
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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 C.1500475 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.163972 (OH)

Record details

NPI number1821509415
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , CDCA
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing address2000 Noble Dr, Wooster, OH 44691-5353

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