LAURA BLACK
NPI 1043695927
Counselor - Professional in Bowling Green, KY

Q: What is Laura Black's NPI number?

The NPI number for Laura Black is 1043695927. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Q: What is Laura Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Laura Black was last updated on November 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment

380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103(270) 901-5000(270) 842-5268 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2023, Sep 20, 2017 (2 updates tracked since 2017).

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About Laura Black NPPES

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

LAURA BLACK (NPI 1043695927) is an individual professional provider in Bowling Green, Kentucky, licensed in Kentucky (171471) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043695927

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLAURA BLACK

Location Address380 SUWANNEE TRAIL STBowling Green, KY 42103-7956

Mailing Address380 Suwannee Trail St.Bowling Green, KY 42101 · (270) 901-5000 · Fax (270) 842-5268

Phone(270) 901-5000

Fax(270) 842-5268

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 21, 2015

Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration

NPPES CertifiedNovember 14, 2023

✔ NPI 1043695927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 171471

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

380 SUWANNEE TRAIL ST, Bowling Green, KY 42103

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Other Identifiers 1

Medicaid7100439620KY

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

Laura Black 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 ID3971952789

PECOS Enrollment IDI20231205002952

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 20

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

VALORIE DUNCAN

Registered Nurse