Black Space LLC
NPI 1427860022 · Mental Health Counselor · Bothell, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Space LLC is a Mental Health Counselor organization in Bothell, WA (NPI 1427860022).
Provider details
- NPI number
- 1427860022
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tamera Gittens, Lmhc(929) 445-7277
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-22
- Last updated
- 2025-01-22
- Certified
- 2025-01-06
Frequently asked questions
- What is Black Space LLC's NPI number?
- Black Space LLC's National Provider Identifier (NPI) is 1427860022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Space LLC?
- Black Space LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Black Space LLC located?
- Black Space LLC's practice location on file with NPPES is 22722 29th Drive Southeast Suite 100, Bothell, WA 98021.
- What is Black Space LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Space LLC is (929) 445-7277.
- Does Black Space LLC accept Medicare?
- Black Space LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Space LLC?
- The authorized official listed on Black Space LLC's NPPES record is Tamera Gittens, Lmhc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Space LLC's NPI active?
- Yes — Black Space LLC's NPI (1427860022) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.