MS. KEELY CHANTALE BLACK
NPI 1376872697
Counselor - Professional in Dallas, TX
About Ms. Keely Chantale Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KEELY CHANTALE BLACK (NPI 1376872697) is an individual professional provider in Dallas, Texas, licensed in Texas (62324) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Keely Chantale Black 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.
Medicare Billing Reassignments
2Medicare enrollment records show Keely Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynchburg, VA 24504
- Reassigned Medicare billing, Texas enrollment
- 262 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Texas enrollment
- 1,573 clinicians in this Medicare group
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 Keely Black's NPI number?
The NPI number for Keely Black is 1376872697. It was assigned to this individual provider in the NPPES registry on December 16, 2009.
Where is Keely Black located?
Keely Black practices at 3227 Mckinney Ave 6E, Dallas, TX 75204. The listed phone number is (972) 977-2490.
What is Keely Black's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Keely Black enrolled in Medicare?
Yes. Keely 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.
Which organizations bill Medicare for Keely Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keely Black reassigns Medicare benefits to 2 organizations: Thrive Counseling LLC (Lynchburg, VA) and Grow Healthcare Group PA (Miami, FL). Each 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 Keely Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keely Black accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Keely 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 Keely Black was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Keely Chantale Black · NPI 1376872697
Professional provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since December 16, 2009.
## Identity
- **NPI:** 1376872697 (Entity type: Individual)
- **Enumerated:** December 16, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 62324 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3227 MCKINNEY AVE, 6E, Dallas, TX 75204-7424
- **Phone:** (972) 977-2490
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 16, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1376872697) · Data from the CMS NPPES public registry.