DR. NICOLE BLACK PHD, LPC-S, LCDC RPT
NPI 1477935351
Counselor - Professional in Lubbock, TX

Q: What is Nicole Black's NPI number?

The NPI number for Nicole Black is 1477935351. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Q: What is Nicole Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Black was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 26, 2015PECOS Enrolled

4601 66TH ST STE D, LUBBOCK, TX 79414(806) 630-0126(806) 722-5225 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2025, Jan 27, 2022, Apr 14, 2017 and 1 more (4 updates tracked since 2015).

On this page

About Dr. Nicole Black Phd, Lpc-s, Lcdc Rpt NPPES

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

DR. NICOLE BLACK PHD, LPC-S, LCDC RPT (NPI 1477935351) is an individual professional provider in Lubbock, Texas, licensed in Texas (71446) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477935351

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. NICOLE BLACKCredential: PHD, LPC-S, LCDC RPT

Location Address4601 66TH ST STE DLubbock, TX 79414-4875

Mailing Address4601 66th St Ste DLubbock, TX 79414-4875 · (806) 630-0126 · Fax (806) 722-5225

Phone(806) 630-0126

Fax(806) 722-5225

Sole ProprietorYes

Enumeration DateJune 26, 2015

Last NPPES UpdateJune 7, 20254 updates tracked since enumeration

NPPES CertifiedJune 7, 2025

✔ NPI 1477935351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 71446

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12986 (TX)

4601 66TH ST STE D, Lubbock, TX 79414

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Black Phd, Lpc-s, Lcdc Rpt 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Nicole Black, Phd, Lpc-S, Lcdc, Rpt PLLC

Same address

Professional

4601 66TH ST STE D
Lubbock, TX 79414

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1780270173 (806) 630-0126

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.

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