LEORA ELIZABETH BLACK PH.D.
NPI 1003986407
Counselor - Mental Health in Colchester, VT

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
525 HERCULES DR, SUITE 1A, COLCHESTER, VT 05446(802) 264-5333(802) 264-5338 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Jul 13, 2016 (2 updates tracked since 2016).

About Leora Elizabeth Black Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEORA ELIZABETH BLACK PH.D. (NPI 1003986407) is an individual mental health provider in Colchester, Vermont, licensed in Vermont (068-0000067) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1003986407
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLEORA ELIZABETH BLACKCredential: PH.D.
Location Address525 HERCULES DR, SUITE 1AColchester, VT 05446-5993
Mailing Address231 Country MdwsColchester, VT 05446-7072 · (802) 264-5333 · Fax (802) 264-5338
Fax(802) 264-5338
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 9, 2006
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1003986407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VT · 068-0000067
525 HERCULES DR, Colchester, VT 05446

Other Identifiers 1

Medicaid1006789VT

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

Leora Elizabeth Black Ph.d. 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.

PECOS PAC ID9335582048
PECOS Enrollment IDI20240209001952
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
525 HERCULES DR, SUITE 1A
COLCHESTER, VT 05446
Counselor (Mental Health)
525 HERCULES DR
COLCHESTER, VT 05446
Counselor (Mental Health)
525 HERCULES DR, SUITE 1A
COLCHESTER, VT 05446
Psychologist (Clinical)
525 HERCULES DR, SUITE 1A
COLCHESTER, VT 05446
Midwife
525 HERCULES DR, SUITE 1B
COLCHESTER, VT 05446
Psychologist (Clinical)
525 HERCULES DR, SUITE 1A
COLCHESTER, VT 05446
Social Worker (Clinical)
525 HERCULES DR, SUITE 1A
COLCHESTER, VT 05446
Counselor (Mental Health)
525 HERCULES DR, SUITE 1A
COLCHESTER, VT 05446

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 Leora Black's NPI number?

The NPI number for Leora Black is 1003986407. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Leora Black located?

Leora Black practices at 525 Hercules Dr Suite 1A, Colchester, VT 05446. The listed phone number is (802) 264-5333.

What is Leora Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Leora Black enrolled in Medicare?

Yes. Leora 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 Leora Black accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Leora 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 Leora Black was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.