Mrs Theresa L Black, LPC, NCC, ACS in Bridgeton, NJ

Mrs Theresa L Black, LPC, NCC, ACS is a medicare enrolled "Counselor - Professional" provider in Bridgeton, New Jersey. Her current practice location is 333 Irving Ave, Capc First Floor, Bridgeton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 575-4196.

Mrs Theresa L Black is licensed to practice in New Jersey (license number 37PC00324200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376802397.

Contact Information

	Mrs Theresa L Black, LPC, NCC, ACS
	333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123
	(856) 575-4196
	(856) 575-5071

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Theresa L Black
Gender	Female
Speciality	Counselor - Professional
Location	333 Irving Ave, Bridgeton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376802397
Provider Enumeration Date: 05/11/2012
Last Update Date: 03/03/2015

Medicare PECOS Information:

PECOS PAC ID: 9335679364
Enrollment ID: I20250206001042

Medical Identifiers

Medical identifiers for Mrs Theresa L Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376802397	NPI	-	NPPES
3674509	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	37PC00324200 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Theresa L Black allows following entities to bill medicare on her behalf.

Entity Name	Center For Family Guidance Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508803388 PECOS PAC ID: 2860396454 Enrollment ID: O20031125000323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Theresa L Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Theresa L Black, LPC, NCC, ACS 333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123 Ph: (856) 575-4196	Mrs Theresa L Black, LPC, NCC, ACS 333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123 Ph: (856) 575-4196

Reviews and Comments

Counselor in Bridgeton, NJ

Ms. Annette Tolbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 South Burlington Rd, 189, Bridgeton, NJ 08302 Phone: 609-328-8845
Simone Henry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Cohansey St, Bridgeton, NJ 08302 Phone: 856-497-6650
Ms. Jada Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Irving Ave, Bridgeton, NJ 08302 Phone: 856-575-4141
Mrs. Amelia Wilmore-nozil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Deerfield Dr, Bridgeton, NJ 08302 Phone: 571-210-8094
Myangel A Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Sunny Slope Dr, Bridgeton, NJ 08302 Phone: 856-455-5441
Latasha Cohen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Manheim Ave, Bridgeton, NJ 08302 Phone: 856-537-2310
Vanilla Hatch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Birch St, Bridgeton, NJ 08302 Phone: 856-641-2813

Mrs Theresa L Black, LPC, NCC, ACS - Medicare Counselor in Bridgeton, NJ