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MS. CAMILLA YVETTE BLACK M.ED, NCC,LPC
NPI 1346545605
Counselor - Mental Health in Wake Forest, NC

Active since January 18, 2011PECOS Enrolled
1241-06 SOUTH MAIN STREET, WAKE FOREST, NC 27587(919) 554-1231(919) 554-2406 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Camilla Yvette Black M.ed, Ncc,lpc NPPES

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

MS. CAMILLA YVETTE BLACK M.ED, NCC,LPC (NPI 1346545605) is an individual mental health provider in Wake Forest, North Carolina, licensed in North Carolina (8316) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1346545605
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CAMILLA YVETTE BLACKCredential: M.ED, NCC,LPC
Location Address1241-06 SOUTH MAIN STREETWake Forest, NC 27587
Mailing Address1241-06 South Main StreetWake Forest, NC 27587 · (919) 554-1231 · Fax (919) 554-2406
Phone(919) 554-1231
Fax(919) 554-2406
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 18, 2011
✔ NPI 1346545605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 8316
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 8316 (NC)
1241-06 SOUTH MAIN STREET, Wake Forest, NC 27587
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Camilla Yvette Black M.ed, Ncc,lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315471786
PECOS Enrollment IDI20260606000193
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.

Medicare Billing Reassignment

Medicare enrollment records show Camilla Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
709 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Idaho and North Carolina enrollments
  • 138 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 Camilla Black's NPI number?

The NPI number for Camilla Black is 1346545605. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Camilla Black located?

Camilla Black practices at 1241-06 South Main Street, Wake Forest, NC 27587. The listed phone number is (919) 554-1231.

What is Camilla Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Camilla Black enrolled in Medicare?

Yes. Camilla Black is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camilla Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camilla Black reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Camilla Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camilla Black accept?

Health plans from Cigna Healthcare list Camilla 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 Camilla Black was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.