CLAYTON BLACK LPC
NPI 1033624317
Counselor - Mental Health in Tucson, AZ

Active since December 07, 2017PECOS EnrolledAccepts Medicare Assignment
1600 N COUNTRY CLUB RD, TUCSON, AZ 85716(520) 327-4505 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Feb 26, 2025, Dec 7, 2017 (3 updates tracked since 2017).

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

NPI1033624317
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLAYTON BLACKCredential: LPC
Location Address1600 N COUNTRY CLUB RDTucson, AZ 85716-3119
Mailing Address2201 N Rainbow Vista DrTucson, AZ 85712-2912 · (740) 243-2554
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 7, 2017
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1033624317 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 AZ · LPC-20575
1600 N COUNTRY CLUB RD, Tucson, AZ 85716

Secondary Practice Location 1

Location 18478 E Speedway Blvd Ste 300Tucson, AZ 85710-1729 · Phone (740) 243-2554

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

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.

PECOS PAC ID6709230014
PECOS Enrollment IDI20240122001434
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 3

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

Counselor (Mental Health)
1600 N COUNTRY CLUB RD
TUCSON, AZ 85716
Clinic/Center (Mental Health (Including Community Mental Health Center))
1600 N COUNTRY CLUB RD
TUCSON, AZ 85716
Counselor (Mental Health)
1600 N COUNTRY CLUB RD
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.

What insurance does Clayton Black accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare 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 17 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.