JALEESA BLACK
NPI 1447700414
Marriage & Family Therapist in Long Beach, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since October 13, 2016PECOS EnrolledAccepts Medicare Assignment

161 W VICTORIA ST, LONG BEACH, CA 90805(323) 242-5000 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jaleesa Black NPPES

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

JALEESA BLACK (NPI 1447700414) is an individual marriage & family therapist in Long Beach, California and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447700414

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJALEESA BLACK

Location Address161 W VICTORIA STLong Beach, CA 90805-2175

Mailing Address161 W Victoria StLong Beach, CA 90805-2175 · (323) 242-5000

Phone(323) 242-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 13, 2016

✔ NPI 1447700414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

161 W VICTORIA ST, Long Beach, CA 90805

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaleesa 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.

PECOS PAC ID3173964665

PECOS Enrollment IDI20240515001889

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.