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IIESHA BLACK LPC
NPI 1013723246
Counselor - Mental Health in Hinesville, GA

Active since December 03, 2024PECOS EnrolledAccepts Medicare Assignment
345 W MEMORIAL DR, HINESVILLE, GA 31313(912) 456-2010 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Iiesha Black Lpc NPPES

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

IIESHA BLACK LPC (NPI 1013723246) is an individual mental health provider in Hinesville, Georgia, licensed in Georgia (LPC015171) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013723246
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameIIESHA BLACKCredential: LPC
Location Address345 W MEMORIAL DRHinesville, GA 31313-2413
Mailing Address345 W Memorial DrHinesville, GA 31313-2413 · (912) 456-2010
Phone(912) 456-2010
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 3, 2024
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1013723246 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 GA · LPC015171
345 W MEMORIAL DR, Hinesville, GA 31313
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Iiesha Black Lpc 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 ID7517459209
PECOS Enrollment IDI20251120001587
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.

Medicare Billing Reassignment

Medicare enrollment records show Iiesha Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerstone Of Tennessee, Inc.
0.1 mi
Mental Health (Including Community Mental Health Center)
345 W MEMORIAL DR
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1376365197 (888) 291-4357

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

JOSEPH FOLSOM
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 456-2010
BELINDA JOY SHARP MS, LMHC,LPC
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 456-2002
BRITTANY FLEMING LPC
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 456-2010
CENTERSTONE OF TENNESSEE, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (888) 291-4357
KELLY M MICHAUD LPC
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 456-2010
CHRISTINA AVERY M.S., LPC, NCC
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 456-2010
SCARLET CHANCEY LPC, CADCII, ACS
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 456-2010
JACQUELINE GOBLE
Marriage & Family Therapist
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (907) 444-7715

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 Iiesha Black's NPI number?

The NPI number for Iiesha Black is 1013723246. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Iiesha Black located?

Iiesha Black practices at 345 W Memorial Dr, Hinesville, GA 31313. The listed phone number is (912) 456-2010.

What is Iiesha Black's specialty?

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

Is Iiesha Black enrolled in Medicare?

Yes. Iiesha 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.

Which organization bills Medicare for Iiesha Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iiesha Black reassigns Medicare benefits to Centerstone Of Tennessee, Inc. (Hinesville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Iiesha Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iiesha Black accept?

Health plans from Anthem Blue Cross and Blue Shield list Iiesha 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 Iiesha Black was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.