DR. JUDITH ANN BLACK PHD, LPC, LCMHC, NCC
NPI 1003110198
Counselor - Professional in Fairmont, WV
About Dr. Judith Ann Black Phd, Lpc, Lcmhc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUDITH ANN BLACK PHD, LPC, LCMHC, NCC (NPI 1003110198) is an individual professional provider in Fairmont, West Virginia, licensed in West Virginia (2278) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Judith Ann Black Phd, Lpc, Lcmhc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Judith Black's NPI number?
The NPI number for Judith Black is 1003110198. It was assigned to this individual provider in the NPPES registry on January 4, 2011. The provider is also known as Dr. Jude A. Black Phd.
Where is Judith Black located?
Judith Black practices at 207 Fairmont Ave, Fairmont, WV 26554. The listed phone number is (681) 404-6869.
What is Judith Black's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Judith Black enrolled in Medicare?
Yes. Judith Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Judith Black accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Judith Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Judith Black was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Judith Ann Black, PHD, LPC, LCMHC, NCC · NPI 1003110198
Professional provider in Fairmont, West Virginia. Individual provider, active in the CMS NPPES registry since January 4, 2011.
## Identity
- **NPI:** 1003110198 (Entity type: Individual)
- **Enumerated:** January 4, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2278 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 207 FAIRMONT AVE, Fairmont, WV 26554-2710
- **Phone:** (681) 404-6869
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 16, 2023
- **Other identifiers:** Medicaid WVTPID009357 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1003110198) · Data from the CMS NPPES public registry.