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ELIZABETH BLACK MA, LCPC
NPI 1548675382
Counselor - Mental Health in Northbrook, IL

Active since June 30, 2014PECOS Enrolled
5 REVERE DR, SUITE 100, NORTHBROOK, IL 60062(847) 291-6805 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Black Ma, Lcpc NPPES

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

ELIZABETH BLACK MA, LCPC (NPI 1548675382) is an individual mental health provider in Northbrook, Illinois, licensed in Illinois (180010188) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548675382
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH BLACKCredential: MA, LCPC
Location Address5 REVERE DR, SUITE 100Northbrook, IL 60062-1566
Mailing Address5 Revere Dr, Suite 100Northbrook, IL 60062-1566 · (847) 291-6805
Phone(847) 291-6805
Sole ProprietorNo
Enumeration DateJune 30, 2014
Last NPPES UpdateAugust 5, 2016
✔ NPI 1548675382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IL · 180010188✔ Licensed in IL · 178.009341
5 REVERE DR, Northbrook, IL 60062
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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 (PECOS)

Elizabeth Black Ma, Lcpc 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.

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.

ANNE ROSSEN INTEGRATIVE PSYCHOTHERAPY AND MORE, LLC
Counselor (Mental Health)
5 REVERE DR, SUITE 238
NORTHBROOK, IL 60062
Cook County (847) 433-8733
HANNAH GUPTON M.S., L.P.C
Counselor (Professional)
5 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (847) 291-6805
MARIE KURNICK
Social Worker (Clinical)
5 REVERE DR
NORTHBROOK, IL 60062
Cook County (847) 291-6805
JENNIFER THIBAULT
Behavior Technician
5 REVERE DR
NORTHBROOK, IL 60062
Cook County (847) 306-9843
AMY COCHRAN BCBA
Behavior Analyst
5 REVERE DR, SUITE 120
NORTHBROOK, IL 60062
Cook County (847) 807-3717
ILLIANA HERNANDEZ
Behavior Technician
5 REVERE DR
NORTHBROOK, IL 60062
Cook County (844) 859-6434
HEATHER WOLFGANG BCBA
Behavior Analyst
5 REVERE DR
NORTHBROOK, IL 60062
Cook County (847) 807-3717
MRS. CATHERINE RENE SPENCER LCSW
Social Worker (Clinical)
5 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (847) 291-6815

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 Elizabeth Black's NPI number?

The NPI number for Elizabeth Black is 1548675382. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Elizabeth Black located?

Elizabeth Black practices at 5 Revere Dr Suite 100, Northbrook, IL 60062. The listed phone number is (847) 291-6805.

What is Elizabeth Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Elizabeth Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Black was last updated on August 5, 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.