JEANNE DEVO BLACK M.ED., LPC, LADC
NPI 1114245305
Counselor - Addiction (Substance Use Disorder) in Oklahoma City, OK
About Jeanne Devo Black M.ed., Lpc, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNE DEVO BLACK M.ED., LPC, LADC (NPI 1114245305) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1022) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanne Devo Black M.ed., Lpc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanne Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73105
- Reassigned Medicare billing, Oklahoma enrollment
- 201 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73105
OKLAHOMA CITY, OK 73105
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 Jeanne Black's NPI number?
The NPI number for Jeanne Black is 1114245305. It was assigned to this individual provider in the NPPES registry on May 12, 2010. The provider is also known as Jeanne Devo Fair M.Ed., Lpc, Ladc.
Where is Jeanne Black located?
Jeanne Black practices at 4400 N Lincoln Blvd, Oklahoma City, OK 73105. The listed phone number is (405) 424-7711.
What is Jeanne Black's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Jeanne Black enrolled in Medicare?
Yes. Jeanne Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanne Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Black reassigns Medicare benefits to Oklahoma Mental Health Council (Oklahoma City, OK). 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 Jeanne Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeanne Black accept?
Health plans from UnitedHealthcare list Jeanne 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 Jeanne Black was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jeanne Devo Black, M.ED., LPC, LADC · NPI 1114245305
Addiction (Substance Use Disorder) provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since May 12, 2010.
## Identity
- **NPI:** 1114245305 (Entity type: Individual)
- **Enumerated:** May 12, 2010
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 1022 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 N LINCOLN BLVD, Oklahoma City, OK 73105-5108
- **Phone:** (405) 424-7711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Oklahoma Mental Health Council (NPI 1275574907, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1114245305) · Data from the CMS NPPES public registry.