CLAYTON BLACK LPC
NPI 1033624317
Counselor - Mental Health in Tucson, AZ
About Clayton Black Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAYTON BLACK LPC (NPI 1033624317) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LPC-20575) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Clayton 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.
Medicare Billing Reassignment
Medicare enrollment records show Clayton Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85716
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Codac Health Recovery And Wellness
- 46 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCSON, AZ 85716
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 Clayton Black's NPI number?
The NPI number for Clayton Black is 1033624317. It was assigned to this individual provider in the NPPES registry on December 7, 2017.
Where is Clayton Black located?
Clayton Black practices at 1600 N Country Club Rd, Tucson, AZ 85716. The listed phone number is (520) 327-4505.
What is Clayton Black's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Clayton Black enrolled in Medicare?
Yes. Clayton 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 Clayton Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Black reassigns Medicare benefits to Codac Health, Recovery & Wellness, Inc. (Tucson, AZ). 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 Clayton Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clayton Black accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Clayton 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 Clayton Black was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Clayton Black, LPC · NPI 1033624317
Mental Health provider in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since December 7, 2017.
## Identity
- **NPI:** 1033624317 (Entity type: Individual)
- **Enumerated:** December 7, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC-20575 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 N COUNTRY CLUB RD, Tucson, AZ 85716-3119
- **Phone:** (520) 327-4505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Codac Health, Recovery & Wellness, Inc. (NPI 1518358530, Tucson, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033624317) · Data from the CMS NPPES public registry.