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JOHN W BLACK JR. MS, LPA
NPI 1457401945
Counselor - Professional in Georgetown, KY

Active since January 10, 2007PECOS Enrolled
110 ROACH ST, GEORGETOWN, KY 40324(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About John W Black Jr. Ms, Lpa NPPES

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

JOHN W BLACK JR. MS, LPA (NPI 1457401945) is an individual professional provider in Georgetown, Kentucky, licensed in Kentucky (241827) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1457401945
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN W BLACK JR.Credential: MS, LPA
Location Address110 ROACH STGeorgetown, KY 40324-9393
Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 254-2743
Phone(859) 253-1686
Fax(859) 254-2743
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1457401945 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 KY · 241827
110 ROACH ST, Georgetown, KY 40324
Open in Google Maps ↗

Other Identifiers 1

Medicaid30615058KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John W Black Jr. Ms, Lpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113494485
PECOS Enrollment IDI20260423001871
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.

Medicare Billing Reassignments

3

Medicare enrollment records show John Black reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harrison Memorial Hospital Inc
19 mi
Multi-Specialty
1210 KY HIGHWAY 36 E
Cynthiana, KY 41031
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group
NPI 1669615233 (859) 234-2300
Isaiah House, Inc.
43 mi
Substance Abuse Rehabilitation Facility
2084 MAIN ST
Willisburg, KY 40078
  • Reassigned Medicare billing, Kentucky enrollment
  • 72 clinicians in this Medicare group
NPI 1396086559 (859) 375-9200
Grow Healthcare Group PA
894 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Kentucky enrollment
  • 255 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 18

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

MS. ANNE G KEENAN CSW
Social Worker
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (859) 253-1686
GENIE A MCFALL
Psychologist (Clinical)
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (859) 253-1686
RANDOLPH C MOLER LCSW
Social Worker (Clinical)
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (859) 253-1686
NATASHA PAINTER LPCC
Counselor (Professional)
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (606) 671-7452
SWATI S MULAY
Psychiatry & Neurology (Psychiatry)
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (859) 253-1686
KELSEY NOEL HAGAN
Social Worker
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (502) 863-4734
CAROLYN KELLEY
Social Worker
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (502) 863-4734
MRS. KIM W DAVIS LCSW
Social Worker
110 ROACH ST
GEORGETOWN, KY 40324
Scott County (859) 253-1686

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 John Black's NPI number?

The NPI number for John Black is 1457401945. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is John Black located?

John Black practices at 110 Roach St, Georgetown, KY 40324. The listed phone number is (859) 253-1686.

What is John Black's specialty?

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

Is John Black enrolled in Medicare?

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

Which organizations bill Medicare for John Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Black reassigns Medicare benefits to 3 organizations: Harrison Memorial Hospital Inc (Cynthiana, KY), Isaiah House, Inc. (Willisburg, KY) 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 John Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Black accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list John 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 John Black was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.