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

Robert D Black, LPC, CRC

Individual provider Professional Counselor · NPI 1629583471

Robert D Black, LPC, CRC is a Professional Counselor in San Dimas, California. Practices as a sole proprietor. Licensed in California and Georgia.

Licensed in
CA, GA
In the registry since
2017
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

518 N Darwood Ave
San Dimas, CA 91773-1600
Phone: (626) 628-7373
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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 LPC308 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC007406 (GA)
Rehabilitation Counselor Taxonomy 225C00000X · Licence 108223 (CA)
Rehabilitation Counselor Taxonomy 225C00000X · Licence 108223 (GA)

Record details

NPI number1629583471
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , CRC
Sole proprietorYes
NPI enumeratedDecember 1, 2017
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address518 N Darwood Ave, San Dimas, CA 91773-1600

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