JENNIFER BLACK LMFT
NPI 1700584901
Marriage & Family Therapist in Georgetown, TX

Q: What is Jennifer Black's NPI number?

The NPI number for Jennifer Black is 1700584901. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Q: What is Jennifer Black's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Jennifer Black enrolled in Medicare?

No. Jennifer Black has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on February 17, 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.

Active since February 17, 2023Opted out of Medicare · through Feb 23, 2028

215 S ROCK ST UNIT 2, GEORGETOWN, TX 78626(818) 648-4011 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Black Lmft NPPES

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

JENNIFER BLACK LMFT (NPI 1700584901) is an individual marriage & family therapist in Georgetown, Texas, licensed in Texas (203627) and active in the NPI registry since February 2023. She has opted out of Medicare through February 23, 2028.

NPPES Registry Identity

NPI1700584901

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER BLACKCredential: LMFT

Location Address215 S ROCK ST UNIT 2Georgetown, TX 78626-2539

Mailing Address215 S Rock St Unit 2Georgetown, TX 78626-2539 · (818) 648-4011

Phone(818) 648-4011

Sole ProprietorYes

Enumeration DateFebruary 17, 2023

NPPES CertifiedFebruary 17, 2023

✔ NPI 1700584901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in TX · 203627

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

215 S ROCK ST UNIT 2, Georgetown, TX 78626

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Black Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2024 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2024

Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jennifer Black's NPI number?

The NPI number for Jennifer Black is 1700584901. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Jennifer Black located?

Jennifer Black practices at 215 S Rock St Unit 2, Georgetown, TX 78626. The listed phone number is (818) 648-4011.

What is Jennifer Black's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Black enrolled in Medicare?

No. Jennifer Black has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Black accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Jennifer 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 Jennifer Black was last updated on February 17, 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.