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

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenda Carol Black Lmhc, Casac-2 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 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.

Medicare Billing Reassignment

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

Mental Health
303 5TH AVE RM 1108
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 33 clinicians in this Medicare group

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 2

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

Counselor (Mental Health)
109 W 38TH ST RM 303
NEW YORK, NY 10018
Counselor (Mental Health)
109 W 38TH ST RM 303
NEW YORK, NY 10018

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Glenda Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenda Black reassigns Medicare benefits to Manhattan Mental Health Counseling, LLC (New York, NY). 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 Glenda Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenda Black was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.