Individual provider

Judith Black, PHD, LPC, LCMHC, NCC

Professional Counselor Medicare enrolled

Judith Black, PHD, LPC, LCMHC, NCC is a Professional Counselor in Fairmont, WV, registered under NPI 1003110198. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

Here is what surrounds this office in Fairmont, based on OpenStreetMap data collected Sep 5, 2026. Parking is available about 0.24 mi away. A pharmacy sits 550 ft from the entrance (CVS Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.46 mi away.

207 FAIRMONT AVE, Fairmont, WV 26554 Open in Google Maps →

Getting here and what is nearby

Restaurant Fox's Pizza Den 461 ft ~2 min

94 Fairmont Avenue, Fairmont 26554

11:00-21:00

+1-304-367-0000

Website

Directions in Google Maps →

Restaurant Mikey Cash Cuisine 494 ft ~2 min

Mo-Tu 11:00-20:00; We-Fr 11:00-21:00; Su off

Directions in Google Maps →

Pharmacy CVS Pharmacy 550 ft ~3 min

300 Fairmont Avenue, Fairmont 26554

Mo-Sa 09:00-20:00; Su 10:00-18:00

Website

Directions in Google Maps →

Parking 0.22 mi ~5 min
Parking 0.23 mi ~5 min
Parking 0.24 mi ~5 min
Gas station Exxon 0.27 mi ~6 min
Convenience Westside Market 0.28 mi ~6 min
Gas station Exxon 0.34 mi ~7 min
Coffee Hoops Cafe 0.36 mi ~8 min

505 Locust Avenue, Fairmont 26554

Su 04:00-21:00

+1 304-363-6446

Directions in Google Maps →

Coffee The Joe 0.37 mi ~8 min

323 1/2 Adams Street, Fairmont 26554

Directions in Google Maps →

Convenience GoMart 0.43 mi ~9 min
Gas station GoMart 0.43 mi ~9 min
Coffee Coffee Hut 0.46 mi ~10 min

310 Merchant Street, Fairmont 26554

Directions in Google Maps →

Convenience BFS Liquor Store 0.48 mi ~10 min
Restaurant Zhara's - Fairmont 0.48 mi ~10 min

308 Merchant Street, Fairmont 26554

+1304534-8000

Website

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 5, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence
LicenceStateSpecialty
A8388 NC Professional Counselor
0701005401 VA Professional Counselor
275728 NC Professional Counselor
8388 NC Professional Counselor
2278 WV Professional Counselor primary

Licences are recorded in 3 states: NC, VA, WV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
6406206697
Enrollment ID
I20240222002314

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: North Carolina, Virginia and West Virginia. The practice address on file is in Fairmont, WV, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina
Licence
A8388
Specialty
Professional Counselor
Verify with the NC board →
VA Virginia
Licence
0701005401
Specialty
Professional Counselor
Verify with the VA board →
WV West Virginia practice address
Licence
2278
Specialty
Professional Counselor
Verify with the WV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional A8388 NC
101YP2500X Professional Counselor Professional 0701005401 VA
101YP2500X Professional Counselor Professional 275728 NC
101YP2500X Professional Counselor Professional 8388 NC
101YP2500X Professional Counselor Professional 2278 WV primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003110198 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 4, 2011
Last updatedMar 16, 2023
StatusActive
Sole proprietorYes
GenderFemale
CredentialPHD, LPC, LCMHC, NCC
Practice address 207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
Mailing address 12 WOODCLIFF DR
Fairmont, WV 26554
Other names Jude Black Doing Business As
Other identifiers WVTPID009357 · Medicaid (WV)
The last update on file is Mar 16, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003110198 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 1 1 0 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 2 1 0 1 9

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003110198?
NPI 1003110198 is the National Provider Identifier assigned to Judith Black, PHD, LPC, LCMHC, NCC in Fairmont, WV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Judith Black, PHD, LPC, LCMHC, NCC?
The phone number on file with NPPES is (681) 404-6869, last updated Mar 16, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Judith Black, PHD, LPC, LCMHC, NCC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting Judith Black, PHD, LPC, LCMHC, NCC?
Parking is about 0.24 mi from the office. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003110198 a valid number?
Yes. 1003110198 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.