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EMILY BLACK
NPI 1629655188
Counselor - Mental Health in Campbellsville, KY

Active since March 29, 2021PECOS Enrolled
250 WATERTOWER BYP, CAMPBELLSVILLE, KY 42718(270) 465-7424(270) 465-7993 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 28, 2023, Mar 29, 2021 (2 updates tracked since 2021).

About Emily Black NPPES

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

EMILY BLACK (NPI 1629655188) is an individual mental health provider in Campbellsville, Kentucky and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629655188
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY BLACK
Location Address250 WATERTOWER BYPCampbellsville, KY 42718-7654
Mailing Address130 Southern School RdSomerset, KY 42501-3223 · (606) 679-4782 · Fax (606) 678-5296
Phone(270) 465-7424
Fax(270) 465-7993
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 29, 2021
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1629655188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
250 WATERTOWER BYP, Campbellsville, KY 42718
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6800376161
PECOS Enrollment IDI20260216002721
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 Emily Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bluegrass Professional Counseling, LLC
32 mi
Professional
103 EAST SOUTH STREET
Munfordville, KY 42765
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 clinicians in this Medicare group
NPI 1063899789 (270) 696-3181

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 16

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

HAILEE CORBIN
Counselor (Mental Health)
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
SHELBY BURDINE
Case Manager/Care Coordinator
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
MAYLEE PRICE
Case Manager/Care Coordinator
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
GEORGONA DANIELLE MANNING
Peer Specialist
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
KATIE BEHRINGER
Case Manager/Care Coordinator
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
BRITTANY YATES
Case Manager/Care Coordinator
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
ARIEL FERRIE
Case Manager/Care Coordinator
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-7424
TAMMY FEESE
Counselor (Addiction (Substance Use Disorder))
250 WATERTOWER BYP
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-4931

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 Emily Black's NPI number?

The NPI number for Emily Black is 1629655188. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Emily Black located?

Emily Black practices at 250 Watertower Byp, Campbellsville, KY 42718. The listed phone number is (270) 465-7424.

What is Emily Black's specialty?

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

Is Emily Black enrolled in Medicare?

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

Which organization bills Medicare for Emily Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Black reassigns Medicare benefits to Bluegrass Professional Counseling, LLC (Munfordville, KY). 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 Emily Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Black accept?

Health plans from Anthem Blue Cross and Blue Shield list Emily 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 Emily Black was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.