Jaleesa Black, in Long Beach, CA - Medicare Marriage & Family Therapist Provider

Jaleesa Black, is a medicare enrolled "Marriage & Family Therapist" provider in Long Beach, California. Her current practice location is 161 W Victoria St, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (323) 242-5000.

Jaleesa Black is licensed to practice in * (Not Available) (license number ) 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 1447700414.

Contact Information

	Jaleesa Black,
	161 W Victoria St, Long Beach, CA 90805-2175
	(323) 242-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaleesa Black
Gender	Female
Speciality	Marriage & Family Therapist
Location	161 W Victoria St, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447700414
Provider Enumeration Date: 10/13/2016
Last Update Date: 10/13/2016

Medicare PECOS Information:

PECOS PAC ID: 3173964665
Enrollment ID: I20240515001889

Medical Identifiers

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

Identifier	Type	State	Issuer
1447700414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Jaleesa Black allows following entities to bill medicare on her behalf.

Entity Name	Center For New Directions, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578121190 PECOS PAC ID: 9335475870 Enrollment ID: O20190722003529

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. Jaleesa 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
Jaleesa Black, 161 W Victoria St, Long Beach, CA 90805-2175 Ph: (323) 242-5000	Jaleesa Black, 161 W Victoria St, Long Beach, CA 90805-2175 Ph: (323) 242-5000

Reviews and Comments

Marriage & Family Therapist in Long Beach, CA

Domonique Hualani Rood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4151 E Fountain St, Long Beach, CA 90804 Phone: 562-719-9250 Fax: 562-719-9257
Ms. Maria Fernanda Perez-rios, MASTERS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336
Daniel Crosby, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pch Ste 100, Long Beach, CA 90804 Phone: 562-490-7600 Fax: 562-490-7601
Ivannia Fuentes, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804 Phone: 562-490-7600 Fax: 562-490-7601
Corrine Julia Limas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804 Phone: 562-365-2020
Alejandro Ramirez, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336
Ms. Idalia Razo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807 Phone: 562-485-3038 Fax: 562-981-7569

Jaleesa Black, - Medicare Couples Therapy in Long Beach, CA