Tanya L Black is a Portland, Oregon based counselor who is specialized as Counselor. Active license number of Tanya L Black is 16-CRM-033 for Addiction (Substance Use Disorder) Counselor in Oregon. Her current practice location is 1310 Sw 17th Ave, Portland. Patients can book an appointment with her at 503-231-2641.
Tanya L Black is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Tanya L Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Tanya L Black
Specialization:
Counselor
Gender:
Female
Credentials:
CRM/PSS/QMHA-R
Accepts Medicare Assignment:
No
Practice Address:
1310 Sw 17th Ave, Portland, Oregon, 97201-2522
Phone:
503-231-2641
Fax:
503-467-4077
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1801242730
NPI Enumeration Date:
10 May, 2016
NPI Last Update On:
26 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanya L Black are as mentioned below.
License Number
Specialization
State
Status
16-CRM-033
Addiction (Substance Use Disorder) Counselor
Oregon
Primary
THW000001319
Peer Specialist
Oregon
Secondary
23-QMHA-R-3628
Mental Health Counselor
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tanya L Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500730810
Medicaid
Oregon
500819326
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
971-386-2278
Fax Number:
503-224-4494
Patients can reach Tanya L Black at 1310 Sw 17th Ave, Portland, Oregon or can call to book an appointment on 503-231-2641. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.