Elizabeth Black, MA, LCPC in Northbrook, IL - Medicare Counselor Provider

Elizabeth Black, MA, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Northbrook, Illinois. Her current practice location is 5 Revere Dr, Suite 100, Northbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 291-6805.

Elizabeth Black is licensed to practice in Illinois (license number 180010188) 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 1548675382.

Contact Information

	Elizabeth Black, MA, LCPC
	5 Revere Dr, Suite 100, Northbrook, IL 60062-1566
	(847) 291-6805
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Black
Gender	Female
Speciality	Counselor - Mental Health
Location	5 Revere Dr, Northbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548675382
Provider Enumeration Date: 06/30/2014
Last Update Date: 08/05/2016

Medicare PECOS Information:

PECOS PAC ID: 5991140550
Enrollment ID: I20240305002848

Medical Identifiers

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

Identifier	Type	State	Issuer
1548675382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178.009341 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	180010188 (Illinois)	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. Elizabeth Black allows following entities to bill medicare on her behalf.

Entity Name	Clarity Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063803856 PECOS PAC ID: 7517284755 Enrollment ID: O20150326001469

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. Elizabeth 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
Elizabeth Black, MA, LCPC 5 Revere Dr, Suite 100, Northbrook, IL 60062-1566 Ph: (847) 291-6805	Elizabeth Black, MA, LCPC 5 Revere Dr, Suite 100, Northbrook, IL 60062-1566 Ph: (847) 291-6805

Reviews and Comments

Counselor in Northbrook, IL

Mrs. Eleanor Byrd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 Techny Rd, Northbrook, IL 60062 Phone: 847-562-5612
Gabrielle Clow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Academy Dr, Northbrook, IL 60062 Phone: 847-549-1189
Ms. Carol Helaine Drengenberg, RN, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Skokie Blvd, Suite 211, Northbrook, IL 60062 Phone: 847-272-7608 Fax: 847-272-5863
Lindsay Anne Stuart, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 Commercial Ave, Northbrook, IL 60062 Phone: 847-272-5111 Fax: 847-272-7350
Hannah Gupton, M.S., L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Revere Dr, Suite 100, Northbrook, IL 60062 Phone: 847-291-6805
Karen Brown, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Lake Cook Rd Ste 200, Northbrook, IL 60062 Phone: 469-344-2014
Taylor Eileen Yrigoyen, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Skokie Blvd Ste 103, Northbrook, IL 60062 Phone: 847-480-0300 Fax: 847-291-0576

Elizabeth Black, MA, LCPC - Medicare Counselor in Northbrook, IL