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: July 26, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Teresa Black was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.