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MRS. NICOLE RENEE BLACK M.S.
NPI 1588734446
Counselor - Professional in Joplin, MO

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
1230 N DUQUESNE RD, JOPLIN, MO 64801(417) 782-1443(417) 782-3240 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Nicole Renee Black M.s. NPPES

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

MRS. NICOLE RENEE BLACK M.S. (NPI 1588734446) is an individual professional provider in Joplin, Missouri, licensed in Missouri (2003004290) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1588734446
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. NICOLE RENEE BLACKCredential: M.S.
Location Address1230 N DUQUESNE RDJoplin, MO 64801-1509
Mailing Address1230 N Duquesne RdJoplin, MO 64801-1509 · (417) 782-1443 · Fax (417) 782-3240
Phone(417) 782-1443
Fax(417) 782-3240
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588734446 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 MO · 2003004290
1230 N DUQUESNE RD, Joplin, MO 64801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicole Renee Black M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719336031
PECOS Enrollment IDI20231214002807
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.

College Skyline Center LLC
Same address
Clinic/Center
1230 N DUQUESNE RD
Joplin, MO 64801
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
NPI 1598764110 (417) 782-1443

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.

MELISSA MILLER LPC
Counselor (Professional)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (417) 782-1443
GERALD J JONES PHD
Clinic/Center
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (845) 325-9780
SHARON SUE NORTON ED.S.
Counselor (Professional)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (417) 782-1443
BLAKE WEBSTER
Psychologist
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (417) 782-1443
ANGELA RENE GASTON LCSW
Social Worker (Clinical)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (417) 782-1443
LORA LOMBARD
Social Worker (Clinical)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (177) 821-4434
JOHN GETCHELL LCSW
Social Worker (Clinical)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (417) 782-1443
MS. JULIANN A. MCFALL M.S.
Counselor (Professional)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Jasper County (417) 782-1443

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 Nicole Black's NPI number?

The NPI number for Nicole Black is 1588734446. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Nicole Black located?

Nicole Black practices at 1230 N Duquesne Rd, Joplin, MO 64801. The listed phone number is (417) 782-1443.

What is Nicole Black's specialty?

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

Is Nicole Black enrolled in Medicare?

Yes. Nicole Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Black reassigns Medicare benefits to College Skyline Center LLC (Joplin, MO). 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 Nicole Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Black accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Nicole 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 Nicole Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.