JALEESA BLACK
NPI 1447700414
Marriage & Family Therapist in Long Beach, CA
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaleesa Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaleesa Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laguna Hills, CA 92653
- Reassigned Medicare billing, California enrollment
- 131 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.
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.
LONG BEACH, CA 90805
LONG BEACH, CA 90805
LONG BEACH, CA 90805
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 Jaleesa Black's NPI number?
The NPI number for Jaleesa Black is 1447700414. It was assigned to this individual provider in the NPPES registry on October 13, 2016.
Where is Jaleesa Black located?
Jaleesa Black practices at 161 W Victoria St, Long Beach, CA 90805. The listed phone number is (323) 242-5000.
What is Jaleesa Black's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jaleesa Black enrolled in Medicare?
Yes. Jaleesa Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaleesa Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaleesa Black reassigns Medicare benefits to Center For New Directions, Inc. (Laguna Hills, CA). The 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 Jaleesa Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaleesa Black was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jaleesa Black · NPI 1447700414
Marriage & Family Therapist provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1447700414 (Entity type: Individual)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 161 W VICTORIA ST, Long Beach, CA 90805-2175
- **Phone:** (323) 242-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Center For New Directions, Inc. (NPI 1578121190, Laguna Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1447700414) · Data from the CMS NPPES public registry.