Individual Healthcare Provider
Robert D Black, LPC, CRC
Provider's NPPES record last updated: September 24, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1629583471
- Primary Specialty
- Counselor — Professional
- Practice Location
- San Dimas, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 11:46 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X Rehabilitation Counselor
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.
Taxonomy code 225C00000X
Provider-Reported License Information
- Counselor (California)
- LPC308
- Counselor (Georgia)
- LPC007406
- Rehabilitation Counselor (California)
- 108223
- Rehabilitation Counselor (Georgia)
- 108223
Practice Locations
Practice Location
518 N Darwood Ave
San Dimas, California 91773-1600
Phone: (626) 628-7373
Record Information
- Enumeration Date
- December 1, 2017
- Provider's NPPES Record Last Updated
- September 24, 2024
- Certification Date
- September 24, 2024
- NPISignal NPPES Dataset
- August 2026
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