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

Jennifer M Black, MA, CCC-A

Individual provider Audiologist · NPI 1457379810

Jennifer M Black, MA, CCC-A is a Qualified Audiologist in Urbana, Illinois. Qualified in 1984, 42 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Licensed in
IL
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

611 W Park St
Urbana, IL 61801-2500
Phone: (217) 383-3130
Fax: (217) 326-2336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 147-000228 (IL)

Record details

NPI number1457379810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-A
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 12, 2014

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Urbana