Jacqueline Black, LMHC
NPI 1457912420 · Clinical Social Worker · Indianapolis, IN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Black, LMHC is a Clinical Social Worker provider in Indianapolis, IN (NPI 1457912420).
Provider details
- NPI number
- 1457912420
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- License
- 39003454A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6950 Hillsdale CtIndianapolis, IN 46250-2040Phone: (317) 621-7740
Registry dates
- Enumerated
- 2019-06-21
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Jacqueline Black's NPI number?
- Jacqueline Black's National Provider Identifier (NPI) is 1457912420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Black's specialty?
- Jacqueline Black is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jacqueline Black located?
- Jacqueline Black's practice location on file with NPPES is 1030 E County Line Rd Ste C1, Indianapolis, IN 46227-2998.
- What is Jacqueline Black's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Black is (317) 497-6290.
- Does Jacqueline Black accept Medicare?
- Jacqueline Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Black's NPI active?
- Yes — Jacqueline Black's NPI (1457912420) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.