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GLENDA CAROL BLACK LMHC, CASAC-2
NPI 1902301427
Counselor - Mental Health in New York, NY

Active since March 27, 2018PECOS Enrolled
109 W 38TH ST RM 303, NEW YORK, NY 10018(212) 960-8626 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenda Carol Black Lmhc, Casac-2 NPPES

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

GLENDA CAROL BLACK LMHC, CASAC-2 (NPI 1902301427) is an individual mental health provider in New York, New York, licensed in New York (007387) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902301427
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGLENDA CAROL BLACKCredential: LMHC, CASAC-2
Location Address109 W 38TH ST RM 303New York, NY 10018-3643
Mailing Address100 E Hartsdale Ave Apt 3iwHartsdale, NY 10530-3971 · (646) 238-2409
Phone(212) 960-8626
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2018
✔ NPI 1902301427 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
License✔ Licensed in NY · 007387
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 31636 (NY)
109 W 38TH ST RM 303, New York, NY 10018
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenda Carol Black Lmhc, Casac-2 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375013170
PECOS Enrollment IDI20260521002674
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 2

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

MRS. ALYSSA SARDIS LMHC
Counselor (Mental Health)
109 W 38TH ST RM 303
NEW YORK, NY 10018
New York County (212) 960-8626
BRIELLE MARIE NUZZO LMHC
Counselor (Mental Health)
109 W 38TH ST RM 303
NEW YORK, NY 10018
New York County (212) 960-8626

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 Glenda Black's NPI number?

The NPI number for Glenda Black is 1902301427. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Glenda Black located?

Glenda Black practices at 109 W 38th St Rm 303, New York, NY 10018. The listed phone number is (212) 960-8626.

What is Glenda Black's specialty?

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

Is Glenda Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Glenda Black was last updated on March 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.