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

Active since December 03, 2024PECOS Enrolled
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: August 09, 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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iiesha Black Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 10

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
MR. THEODORE CRITTENDON ALLEN LPC
Counselor (Mental Health)
345 W MEMORIAL DR
HINESVILLE, GA 31313
Liberty County (912) 785-0714
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

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 enrollment system.

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 9 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.