Black Space LLC
Black Space LLC is a healthcare organization registered as Mental Health Counselor in Bothell, WA, holding Type 2 (organization) NPI 1427860022 since 2025. The authorized official on file is Tamera Gittens, Lmhc.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1427860022 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Black Space LLC |
| Practice address | 22722 29TH DRIVE SOUTHEAST SUITE 100, Bothell, WA, 98021 |
| Phone | 9294457277 |
| Enumeration date | 2025-01-22 |
| Last updated in NPPES | 2025-01-22 |
Authorized official
| Name | Tamera Gittens |
|---|---|
| Title | Lmhc |
| Phone | 9294457277 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Primary | — | — |
Copy-ready billing details
Provider: Black Space LLC NPI: 1427860022 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 22722 29TH DRIVE SOUTHEAST SUITE 100, Bothell, WA, 98021
Verify this record
Cross-check NPI 1427860022 against the authoritative CMS record: view Black Space LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Black Space LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-01-22.