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

Mrs. Nicole Renee Black, MS

Individual provider Professional Counselor · NPI 1588734446

Mrs. Nicole Renee Black, MS is a Mental Health Counselor in Joplin, Missouri. Qualified in 2001, 25 years ago. Practices with College Skyline Center LLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
25
Licensed in
MO
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1230 N Duquesne Rd
Joplin, MO 64801-1509
Phone: (417) 782-1443
Fax: (417) 782-3240
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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 2003004290 (MO)

Record details

NPI number1588734446
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice College Skyline Center Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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