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

Mrs. Peggy Sue Black, LPCC, LCPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518300946

Mrs. Peggy Sue Black, LPCC, LCPC is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California and Nevada. Registered with an NPI since 2013.

Licensed in
CA, NV
In the registry since
2013
Specialties on file
3
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

5060 Shoreham Pl Ste 330
San Diego, CA 92122-5976
Phone: (877) 840-6956
Fax: (619) 383-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCC15039 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 00464-LC (NV)
Professional Counselor Taxonomy 101YP2500X · Licence CP-0215 (NV)

Record details

NPI number1518300946
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LCPC
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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