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MRS. THERESA L BLACK LPC, NCC, ACS
NPI 1376802397
Counselor - Professional in Bridgeton, NJ

Active since May 11, 2012PECOS Enrolled
333 IRVING AVE, CAPC FIRST FLOOR, BRIDGETON, NJ 08302(856) 575-4196(856) 575-5071 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Theresa L Black Lpc, Ncc, Acs NPPES

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

MRS. THERESA L BLACK LPC, NCC, ACS (NPI 1376802397) is an individual professional provider in Bridgeton, New Jersey, licensed in New Jersey (37PC00324200) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376802397
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. THERESA L BLACKCredential: LPC, NCC, ACS
Location Address333 IRVING AVE, CAPC FIRST FLOORBridgeton, NJ 08302-2123
Mailing Address333 Irving Ave, Capc First FloorBridgeton, NJ 08302-2123 · (856) 575-4196 · Fax (856) 575-5071
Phone(856) 575-4196
Fax(856) 575-5071
Sole ProprietorNo
Enumeration DateMay 11, 2012
Last NPPES UpdateMarch 3, 2015
✔ NPI 1376802397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00324200
333 IRVING AVE, Bridgeton, NJ 08302
Open in Google Maps ↗

Other Identifiers 1

Medicaid3674509NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Theresa L Black Lpc, Ncc, Acs 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.

Other Providers at the Same Location NPPES 20

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

SLEEPCARE CENTERS INC.
Specialist
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (800) 753-3779
MRS. ELVIRA K. SMITH MA, CSW
Social Worker
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555
ELIZABETH STUART BA
Social Worker
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555
LINDA HARGROVE MHS
Social Worker
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555
MS. PATRICIA GATANIS RN
Registered Nurse (Psychiatric/Mental Health)
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555
MRS. CANDIDA M NOCCOSMITH RN,BSN
Registered Nurse
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555
MS. BEVERLY A FOSTER RN
Registered Nurse
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555
MR. PETER L OLSEN MA/LPC
Counselor (Professional)
333 IRVING AVE
BRIDGETON, NJ 08302
Cumberland County (856) 455-5555

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 Theresa Black's NPI number?

The NPI number for Theresa Black is 1376802397. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Theresa Black located?

Theresa Black practices at 333 Irving Ave Capc First Floor, Bridgeton, NJ 08302. The listed phone number is (856) 575-4196.

What is Theresa Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Theresa Black enrolled in Medicare?

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

What insurance does Theresa Black accept?

Health plans from Providence Health Plan list Theresa 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 Theresa Black was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.