BLACK ROCK COUNSELING LLC
NPI 1366113375
Community/Behavioral Health in Fairfield, CT
About Black Rock Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK ROCK COUNSELING LLC (NPI 1366113375) is a healthcare organization registered as a community/behavioral health in Fairfield, Connecticut and active in the NPI registry since September 2021. The organization lists Harvey Michael Paris, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Rock Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Black Rock Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Black Rock Counseling LLC's NPI number?
The NPI number for Black Rock Counseling LLC is 1366113375. It was assigned to this organization in the NPPES registry on September 21, 2021.
Where is Black Rock Counseling LLC located?
Black Rock Counseling LLC is located at 46 Bunnell Cir, Fairfield, CT 06825. The listed phone number is (203) 209-2068.
What is Black Rock Counseling LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Black Rock Counseling LLC enrolled in Medicare?
Yes. Black Rock Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Rock Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Black Rock Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Black Rock Counseling LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Black Rock Counseling Llc · NPI 1366113375
Community/Behavioral Health organization in Fairfield, Connecticut. Organization record, active in the CMS NPPES registry since September 21, 2021.
## Identity
- **NPI:** 1366113375 (Entity type: Organization)
- **Enumerated:** September 21, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Harvey Paris, PRESIDENT
## Practice location
- **Address:** 46 BUNNELL CIR, Fairfield, CT 06825-2615
- **Phone:** (203) 209-2068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366113375) · Data from the CMS NPPES public registry.