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MRS. GAIL RENE BLACK MFT
NPI 1215181995
Marriage & Family Therapist in Santa Cruz, CA

Active since November 08, 2008PECOS EnrolledAccepts Medicare Assignment
740 FRONT ST STE 350, SANTA CRUZ, CA 95060(831) 425-3378 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Gail Rene Black Mft NPPES

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

MRS. GAIL RENE BLACK MFT (NPI 1215181995) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (MFC33588) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1215181995
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. GAIL RENE BLACKCredential: MFT
Location Address740 FRONT ST STE 350Santa Cruz, CA 95060-4562
Mailing Address740 Front St Ste 350Santa Cruz, CA 95060-4562 · (831) 425-3378
Phone(831) 425-3378
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 8, 2008
Last NPPES UpdateOctober 9, 2013
✔ NPI 1215181995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC33588
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.
740 FRONT ST STE 350, Santa Cruz, CA 95060
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Other Names 1

Former Name (1)Gail Rene Walters Mft

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

Mrs. Gail Rene Black Mft 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 ID6709314404
PECOS Enrollment IDI20250108003809
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

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

MR. ELISHA LIVNI L.AC.
Acupuncturist
740 FRONT ST STE 350
SANTA CRUZ, CA 95060
Santa Cruz County (831) 423-3777

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 Gail Black's NPI number?

The NPI number for Gail Black is 1215181995. It was assigned to this individual provider in the NPPES registry on November 8, 2008. The provider is also known as Gail Rene Walters Mft.

Where is Gail Black located?

Gail Black practices at 740 Front St Ste 350, Santa Cruz, CA 95060. The listed phone number is (831) 425-3378.

What is Gail Black's specialty?

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

Is Gail Black enrolled in Medicare?

Yes. Gail Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gail Black was last updated on October 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.