BLACK PINE COUNSELING
NPI 1578014395
Counselor - Professional in Newport News, VA

Active since October 17, 2016
727 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601(757) 595-3455(757) 595-3456 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 25, 2021, Aug 20, 2018, Oct 17, 2016 (3 updates tracked since 2016).

About Black Pine Counseling NPPES

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

BLACK PINE COUNSELING (NPI 1578014395) is a healthcare organization registered as a professional in Newport News, Virginia and active in the NPI registry since October 2016. The organization lists Mark Nichols, Director, as its authorized official.

NPPES Registry Identity

NPI1578014395
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLACK PINE COUNSELING CENTER
Location Address727 J CLYDE MORRIS BLVD STE ANewport News, VA 23601
Mailing Address727 J Clyde Morris Blvd Ste ANewport News, VA 23601-1507 · (757) 595-3455 · Fax (757) 595-3456
Fax(757) 595-3456
Organization SubpartNo
Authorized OfficialMark NicholsDirector · (757) 595-3455
Enumeration DateOctober 17, 2016
Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1578014395 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 VA · 701006460
727 J CLYDE MORRIS BLVD STE A, Newport News, VA 23601

Other Names 1

Doing Business AsBlack Pine Counseling

Other Identifiers 1

Other701006460VA · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Black Pine Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Black Pine Counseling, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Social Worker
NPI 1295492775
175 SWEENEY B LVD.
Hampton, VA 23601
(757) 764-1127
✔ PECOS2.7 mi
Clinical Social Worker
NPI 1649517137
727 J CLYDE MORRIS BLVD
Newport News, VA 23601
(757) 595-3455
✔ PECOS✔ Accepts Medicare2.7 mi
Clinical Social Worker
NPI 1891418307
760 PILOT HOUSE DR STE E
Newport News, VA 23606
(757) 595-3455
✔ PECOS4.3 mi
Mental Health Counselor
NPI 1629517503
825 DILIGENCE DR STE 206
Newport News, VA 23606
(757) 310-6900
✔ PECOS4.4 mi
Marriage and Family Therapist
NPI 1649035601
2407 BAY OAK CT
Chesapeake, VA 23323
(757) 453-5442
✔ PECOS19 mi
Clinical Social Worker
NPI 1558075341
5577 BULLS BAY DR
Virginia Beach, VA 23462
(757) 581-7957
✔ PECOS19 mi
Nurse Practitioner
NPI 1730603689
7319 MARTIN ST STE 3
Gloucester, VA 23061
(757) 726-7791
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Black Pine Counseling Center's NPI number?

The NPI number for Black Pine Counseling Center is 1578014395. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is doing business as Black Pine Counseling.

Where is Black Pine Counseling Center located?

Black Pine Counseling Center is located at 727 J Clyde Morris Blvd Ste A, Newport News, VA 23601. The listed phone number is (757) 595-3455.

What is Black Pine Counseling Center's specialty?

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

Is Black Pine Counseling Center enrolled in Medicare?

Yes. Black Pine Counseling Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Black Pine Counseling Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Black Pine Counseling Center. A 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 the clinician's services. The largest specialties are Clinical Social Worker (4), Marriage and Family Therapist (1) and Mental Health Counselor (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Black Pine Counseling Center was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.