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

MS. Camilla Yvette Black, MED, NCC, LPC

Individual provider Mental Health Counselor · NPI 1346545605

MS. Camilla Yvette Black, MED, NCC, LPC is a Mental Health Counselor in Wake Forest, North Carolina. Qualified in 2003, 23 years ago. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1241-06 S Main St
Wake Forest, NC 27587
Phone: (919) 554-1231
Fax: (919) 554-2406
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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 8316 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 8316 (NC)

Record details

NPI number1346545605
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , NCC , LPC
Sole proprietorNo
NPI enumeratedJanuary 18, 2011
Last updated in NPPESJanuary 18, 2011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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