SARA REBECCA BLACK
NPI 1831653369
Counselor - Professional in Paducah, KY

Active since January 29, 2019PECOS EnrolledAccepts Medicare Assignment
425 BROADWAY ST, PADUCAH, KY 42001(270) 442-7121 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2024, Jan 29, 2019 (2 updates tracked since 2019).

About Sara Rebecca Black NPPES

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

SARA REBECCA BLACK (NPI 1831653369) is an individual professional provider in Paducah, Kentucky, licensed in Kentucky (288759) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831653369
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSARA REBECCA BLACK
Location Address425 BROADWAY STPaducah, KY 42001-0713
Mailing Address425 Broadway StPaducah, KY 42001-0713 · (270) 442-7121
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 29, 2019
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
NPI 1831653369 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 KY · 288759
425 BROADWAY ST, Paducah, KY 42001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Rebecca Black 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 ID9335590199
PECOS Enrollment IDI20240105003660
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.

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Social Worker
425 BROADWAY ST, SUITE 203
PADUCAH, KY 42001
Social Worker
425 BROADWAY ST
PADUCAH, KY 42001
Counselor (Mental Health)
425 BROADWAY ST
PADUCAH, KY 42001
Psychiatry & Neurology (Child & Adolescent Psychiatry)
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Social Worker
425 BROADWAY ST
PADUCAH, KY 42001
Peer Specialist
425 BROADWAY ST
PADUCAH, KY 42001

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 Sara Black's NPI number?

The NPI number for Sara Black is 1831653369. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Sara Black located?

Sara Black practices at 425 Broadway St, Paducah, KY 42001. The listed phone number is (270) 442-7121.

What is Sara Black's specialty?

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

Is Sara Black enrolled in Medicare?

Yes. Sara 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.

When was this NPI record last updated?

The NPPES record for Sara Black was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.