Camilla Black

  • Champaign, IL
  • Mental health counselor
NPI1972350155
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2024
Practice address
3115 Village Office Pl, Champaign, IL 61822
Practice phone
Call (217) 651-6801
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Two Roads Wellness Clinic

Champaign, Illinois

See all 3 affiliations

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Camilla Black is a mental health counselor in Champaign, Illinois

Camilla Black practices at Two Roads Wellness Clinic in Champaign, Illinois.

Camilla Black's NPI, 1972350155, was assigned on May 4, 2024. Camilla Black holds Illinois license 150113474.

NPI and contact details
NPI enumeration date
May 4, 2024
NPI status
Active
Practice phone
(217) 651-6801
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Camilla Black practices at Two Roads Wellness Clinic in Champaign, Illinois

Camilla Black's primary practice is Two Roads Wellness Clinic, at 3115 Village Office Pl, Champaign, IL 61822 in Champaign County. The practice phone is (217) 651-6801.

  • Two Roads Wellness Clinic
    3115 Village Office Pl, Champaign, IL 61822 · Champaign CountyPhone(217) 651-6801

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Camilla Black is affiliated with 2 sites of care and 1 medical group

Camilla Black's primary practice is Two Roads Wellness Clinic in Champaign, Illinois. The medical group on file is Two Roads Wellness Clinic. Dmand AI also links Camilla Black to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Camilla Black

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Camilla Black's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Camilla Black practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Two Roads Wellness ClinicAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Camilla Black is one of 1,743 mental health counselors in Illinois

Mental health is Camilla Black's primary specialty in the NPI Registry, under taxonomy code 101YM0800X. Camilla Black is licensed in Illinois.

Specialties and state licenses

  • Mental health counselor, IllinoisPrimaryLicense 150113474 · taxonomy 101YM0800X

Mental health counselors near Camilla Black

Counts of mental health counselors with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Camilla Black's patients have a median age of 29

Across all payers, Dmand AI patient panel data puts Camilla Black's median patient age at 29, with 67% women.

Camilla Black's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 29

Patient panel by sex, all payers

  • Women67%
  • Men33%

Source: Dmand AI Patient Panel Data

Sources for Camilla Black's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Camilla Black

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Camilla Black's NPI number?

Camilla Black's NPI number is 1972350155. It was assigned on May 4, 2024, and it is active in the NPI Registry.

What does Camilla Black specialize in?

Camilla Black is a mental health counselor in Champaign, Illinois. The primary specialty in the NPI Registry is Mental Health Counselor (taxonomy code 101YM0800X).

Where does Camilla Black practice?

Camilla Black practices at 3115 Village Office Pl, Champaign, IL 61822. Camilla Black's primary practice is Two Roads Wellness Clinic in Champaign, Illinois. Dmand AI also links Camilla Black to 1 group practice or clinic.

What is Camilla Black's office phone number?

The practice phone on file for Camilla Black is (217) 651-6801.

What is Camilla Black's medical license number?

Camilla Black holds Illinois license 150113474.

What medical group is Camilla Black part of?

Camilla Black is linked to Two Roads Wellness Clinic.

How long has Camilla Black been practicing?

Camilla Black's NPI was assigned in 2024.

Selling to mental health practices?

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