LIBBY LORRAINE BLACK MSED, MS
NPI 1205987740
Counselor - Mental Health in Woodhaven, NY
About Libby Lorraine Black Msed, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBBY LORRAINE BLACK MSED, MS (NPI 1205987740) is an individual mental health provider in Woodhaven, New York, licensed in New York (18 000924) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Libby Lorraine Black Msed, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Libby Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, New York enrollment
- 867 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.
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 Libby Black's NPI number?
The NPI number for Libby Black is 1205987740. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Libby Black located?
Libby Black practices at 9221 76th St, Woodhaven, NY 11421. The listed phone number is (212) 365-8742.
What is Libby Black's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Libby Black enrolled in Medicare?
Yes. Libby Black is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Libby Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Libby Black reassigns Medicare benefits to 2 organizations: Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Grow Healthcare Group PA (Miami, FL). Each 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 Libby Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Libby Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Libby Lorraine Black, MSED, MS · NPI 1205987740
Mental Health provider in Woodhaven, New York. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1205987740 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 18 000924 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9221 76TH ST, Woodhaven, NY 11421-2819
- **Phone:** (212) 365-8742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1205987740) · Data from the CMS NPPES public registry.