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GEORGIA ROSE BLACK MS
NPI 1497378947
Counselor - Professional in New Berlin, WI

Active since May 19, 2020
4855 S MOORLAND RD STE 150, NEW BERLIN, WI 53151(262) 432-7702(262) 432-7795 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2022, Dec 3, 2021, May 28, 2020 and 1 more (4 updates tracked since 2020).

About Georgia Rose Black Ms NPPES

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

GEORGIA ROSE BLACK MS (NPI 1497378947) is an individual professional provider in New Berlin, Wisconsin, licensed in Wisconsin (4665) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1497378947
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGEORGIA ROSE BLACKCredential: MS
Location Address4855 S MOORLAND RD STE 150New Berlin, WI 53151-7495
Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238
Phone(262) 432-7702
Fax(262) 432-7795
Sole ProprietorNo
Enumeration DateMay 19, 2020
Last NPPES UpdateJanuary 18, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1497378947 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 WI · 4665
Also ListedArt TherapistTaxonomy 221700000X
4855 S MOORLAND RD STE 150, New Berlin, WI 53151
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Other Identifiers 1

Medicaid1497378947WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 9

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

SARAH P GREIL MS, LPC, CSAC
Counselor (Professional)
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660
CATHERINE BROWN
Counselor (Professional)
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 266-3339
BRIAN R HIRSCH M.D.
Pediatrics
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660
BETHANY T BOJCIC LCSW
Social Worker (Clinical)
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 292-4242
JOHN SCHIMEK MD
Pediatrics
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660
ELLIE HASE
Counselor (Professional)
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 292-4242
JULIA HILBRANDS MS, MPH, RD. CD
Dietitian, Registered
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660
JENNIFER H KLOSIEWSKI LPC
Counselor (Professional)
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660

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 Georgia Black's NPI number?

The NPI number for Georgia Black is 1497378947. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Georgia Black located?

Georgia Black practices at 4855 S Moorland Rd Ste 150, New Berlin, WI 53151. The listed phone number is (262) 432-7702.

What is Georgia Black's specialty?

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

What insurance does Georgia Black accept?

Health plans from Medica, Providence Health Plan and UnitedHealthcare list Georgia 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 Georgia Black was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.