CAMILLE BLACK
NPI 1083137467
Marriage & Family Therapist in Camarillo, CA

Q: What is Camille Black's NPI number?

The NPI number for Camille Black is 1083137467. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Q: What is Camille Black's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Camille Black was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 18, 2017PECOS Enrolled

5284 ADOLFO RD, CAMARILLO, CA 93012(805) 289-0120 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Jul 18, 2017 (2 updates tracked since 2017).

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About Camille Black NPPES

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

CAMILLE BLACK (NPI 1083137467) is an individual marriage & family therapist in Camarillo, California, licensed in California (127823) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083137467

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCAMILLE BLACK

Location Address5284 ADOLFO RDCamarillo, CA 93012-6787

Mailing AddressPo Box 19153Newbury Park, CA 91319-9153 · (805) 795-0987

Phone(805) 289-0120

Sole ProprietorNo

Enumeration DateJuly 18, 2017

Last NPPES UpdateApril 18, 20222 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1083137467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 127823✔ Licensed in CA · 97114

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5284 ADOLFO RD, Camarillo, CA 93012

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Other Identifiers 1

Other56CCCA · Aspiranet

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

MIREYA NORIS

Social Worker