Chelsea Carolyn Black, LMHC in Fishers, IN - Medicare Counselor Provider

Chelsea Carolyn Black, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fishers, Indiana. Her current practice location is 10967 Allisonville Rd Ste 240, Fishers, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 558-0630.

Chelsea Carolyn Black is licensed to practice in Indiana (license number 39003581A) 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 1578116109.

Contact Information

	Chelsea Carolyn Black, LMHC
	10967 Allisonville Rd Ste 240, Fishers, IN 46038-2634
	(317) 558-0630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chelsea Carolyn Black
Gender	Female
Speciality	Counselor - Mental Health
Location	10967 Allisonville Rd Ste 240, Fishers, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578116109
Provider Enumeration Date: 07/23/2019
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5698125375
Enrollment ID: I20240205000135

Medical Identifiers

Medical identifiers for Chelsea Carolyn Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578116109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39003581A (Indiana)	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. Chelsea Carolyn Black allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

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. Chelsea Carolyn 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
Chelsea Carolyn Black, LMHC 10967 Allisonville Rd Ste 240, Fishers, IN 46038-2634 Ph: (317) 558-0630	Chelsea Carolyn Black, LMHC 10967 Allisonville Rd Ste 240, Fishers, IN 46038-2634 Ph: (317) 558-0630

Reviews and Comments

Counselor in Fishers, IN

Alexa Rae Grossman, LCSW, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13578 E 131st St Ste 260, Fishers, IN 46037 Phone: 317-620-1102
Shelley D Tracy, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12015 Allisonville Rd, Fishers, IN 46038 Phone: 317-841-8335
Mrs. Sandra Jane Conner, MA, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14074 Trade Center Dr, Suite 142, Fishers, IN 46038 Phone: 317-218-7785
Dr. Anne P Lewis, PHD, HSPP. LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10142 Brooks School Rd Ste 200, Fishers, IN 46037 Phone: 317-263-4150 Fax: 844-387-5421
Kara Subler-cebulko, MSE, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13607 Gilbert Ln, Fishers, IN 46038 Phone: 317-220-0439
Bruce Gordon Briggs, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10142 Brooks School Rd Ste 200, Fishers, IN 46037 Phone: 317-648-0832
Miss Jamie Wezensky, M.S. CCC-SLP Counselor Medicare: Medicare Enrolled Practice Location: 9957 Allisonville Rd, Fishers, IN 46038 Phone: 502-445-7631

Chelsea Carolyn Black, LMHC - Medicare Counselor in Fishers, IN