MS. KEELY CHANTALE BLACK
NPI 1376872697
Counselor - Professional in Dallas, TX

Active since December 16, 2009PECOS Enrolled
3227 MCKINNEY AVE, 6E, DALLAS, TX 75204(972) 977-2490 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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.

NPPES Registry Identity

NPI1376872697
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KEELY CHANTALE BLACK
Location Address3227 MCKINNEY AVE, 6EDallas, TX 75204-7424
Mailing Address3227 Mckinney Ave, 6eDallas, TX 75204-7424 · (972) 977-2490
Sole ProprietorYes
Enumeration DateDecember 16, 2009
NPI 1376872697 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 TX · 62324
3227 MCKINNEY AVE, Dallas, TX 75204

Accepted 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)

Ms. Keely Chantale Black 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.

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 enrollment system.

What insurance does Keely Black accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare 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.