ELIZABETH BLACK MA, LCPC
NPI 1548675382
Counselor - Mental Health in Northbrook, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Black Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60611
- Reassigned Medicare billing, Illinois enrollment
- 130 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.
NORTHBROOK, IL 60062
NORTHBROOK, IL 60062
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.
Which organization bills Medicare for Elizabeth Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Black reassigns Medicare benefits to Clarity Clinic PLLC (Chicago, IL). 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 Elizabeth Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Black accept?
Health plans from Oscar Health and UnitedHealthcare list Elizabeth 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 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.
# Elizabeth Black, MA, LCPC · NPI 1548675382
Mental Health provider in Northbrook, Illinois. Individual provider, active in the CMS NPPES registry since June 30, 2014.
## Identity
- **NPI:** 1548675382 (Entity type: Individual)
- **Enumerated:** June 30, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180010188 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 REVERE DR, SUITE 100, Northbrook, IL 60062-1566
- **Phone:** (847) 291-6805
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Clarity Clinic PLLC (NPI 1063803856, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1548675382) · Data from the CMS NPPES public registry.