TERESA DAWN BLACK LMFT
NPI 1407368889
Marriage & Family Therapist in Grand Junction, CO

Active since October 25, 2017PECOS Enrolled
300 MAIN ST STE 103, GRAND JUNCTION, CO 81501(970) 299-3307 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2025, Oct 25, 2017 (2 updates tracked since 2017).

About Teresa Dawn Black Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA DAWN BLACK LMFT (NPI 1407368889) is an individual marriage & family therapist in Grand Junction, Colorado, licensed in Colorado (MFT.0002440) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Junction.

NPPES Registry Identity

NPI1407368889
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTERESA DAWN BLACKCredential: LMFT
Location Address300 MAIN ST STE 103Grand Junction, CO 81501-2404
Mailing AddressPo Box 41045Grand Junction, CO 81504-1045
Sole ProprietorYes
Enumeration DateOctober 25, 2017
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1407368889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CO · MFT.0002440
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MFT.0002440 (CO)
300 MAIN ST STE 103, Grand Junction, CO 81501

Other Names 1

Former Name (1)Teresa Dawn Beaty Lmft

Secondary Practice Location 1

Location 1515 28 3/4 RdGrand Junction, CO 81501-5016 · Phone (970) 241-6023 · Fax (970) 242-8330

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Dawn Black Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
300 MAIN ST STE 103
GRAND JUNCTION, CO 81501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Black's NPI number?

The NPI number for Teresa Black is 1407368889. It was assigned to this individual provider in the NPPES registry on October 25, 2017. The provider is also known as Teresa Dawn Beaty Lmft.

Where is Teresa Black located?

Teresa Black practices at 300 Main St Ste 103, Grand Junction, CO 81501. The listed phone number is (970) 299-3307.

What is Teresa Black's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Teresa Black enrolled in Medicare?

Yes. Teresa Black is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Black reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Black accept?

Health plans from Oscar Insurance Company, Select Health and UnitedHealthcare list Teresa Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Black was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.