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ABAGAIL BLACK
NPI 1679249916
Counselor - Mental Health in Pryor, OK

Active since August 17, 2021PECOS Enrolled
109 N FAIRLAND ST, PRYOR, OK 74361(918) 825-1405 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2023, Nov 3, 2021, Aug 17, 2021 (3 updates tracked since 2021).

About Abagail Black NPPES

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

ABAGAIL BLACK (NPI 1679249916) is an individual mental health provider in Pryor, Oklahoma and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679249916
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameABAGAIL BLACK
Location Address109 N FAIRLAND STPryor, OK 74361-4205
Mailing Address109 N Fairland StPryor, OK 74361-4205 · (918) 779-9837
Phone(918) 825-1405
Sole ProprietorNo
Enumeration DateAugust 17, 2021
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1679249916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
109 N FAIRLAND ST, Pryor, OK 74361
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abagail Black 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.

Medicare Billing Reassignment

Medicare enrollment records show Abagail Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
109 N FAIRLAND ST
Pryor, OK 74361
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1871500900 (918) 825-1405

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.

KALI ROSE KERNS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
JACKIE ELAINE HORTON
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
WHITNEY JOANNA PHILLIPS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
BREANNA NICOLE COOK MHR, LPC-C
Counselor (Mental Health)
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1401
NICOLE BURNHAM LPN
Licensed Practical Nurse
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
STEPHANIE RENEE STACY
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841
CRYSTAL MICHELLE CUMMINS
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
KANDICE BRIANS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841

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 Abagail Black's NPI number?

The NPI number for Abagail Black is 1679249916. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Abagail Black located?

Abagail Black practices at 109 N Fairland St, Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Abagail Black's specialty?

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

Is Abagail Black enrolled in Medicare?

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

Which organization bills Medicare for Abagail Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abagail Black reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Pryor, OK). 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 Abagail Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abagail Black accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Abagail 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 Abagail Black was last updated on April 12, 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.