LIBBY LORRAINE BLACK MSED, MS
NPI 1205987740
Counselor - Mental Health in Woodhaven, NY

Active since January 12, 2007PECOS Enrolled
9221 76TH ST, WOODHAVEN, NY 11421(212) 365-8742 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205987740
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLIBBY LORRAINE BLACKCredential: MSED, MS
Location Address9221 76TH STWoodhaven, NY 11421-2819
Mailing Address9221 76th StWoodhaven, NY 11421-2819 · (212) 365-8742
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205987740 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 NY · 18 000924
9221 76TH ST, Woodhaven, NY 11421

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Libby Lorraine Black Msed, Ms 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.

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.

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.