Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Black, LMHC

Individual provider Clinical Social Worker · NPI 1457912420

Jacqueline Black, LMHC is a Mental Health Counselor in Indianapolis, Indiana. Qualified in 2014, 12 years ago. Practices with Community Health Network Inc, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2019
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1030 E County Line Rd Ste C1
Indianapolis, IN 46227-2998
Phone: (317) 497-6290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 — (317) 621-7740

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 39003454A (IN)

Record details

NPI number1457912420
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Community Health Network Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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