Theresa L. Black, LPC, NCC, ACS
NPI 1376802397ActiveIndividual· Counselor, Professional· Bridgeton, NJ
Counselor, Professional (LPC, NCC, ACS) with Center for Family Guidance PC, practicing in Bridgeton, New Jersey. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1376802397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, NCC, ACS |
| Sole proprietor | No |
| NPI issued | May 11, 2012 |
| Last updated in NPPES | Mar 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37PC00324200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Center for Family Guidance PCBlackwood, NJ · 166 clinicians
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