JUANITA ILENE BLACK LMFT
NPI 1497147235
Marriage & Family Therapist in Palm Desert, CA

Q: What is Juanita Black's NPI number?

The NPI number for Juanita Black is 1497147235. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Q: What is Juanita Black's specialty?

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

Q: Is Juanita Black enrolled in Medicare?

No. Juanita Black has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Juanita Black was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 03, 2015Opted out of Medicare · through Apr 1, 2028

78398 DESERT WILLOW DR, PALM DESERT, CA 92211(562) 537-3977(267) 430-2551 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Juanita Ilene Black Lmft NPPES

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

JUANITA ILENE BLACK LMFT (NPI 1497147235) is an individual marriage & family therapist in Palm Desert, California, licensed in California (LMFT84453) and active in the NPI registry since March 2015. She has opted out of Medicare through April 1, 2028 and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497147235

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJUANITA ILENE BLACKCredential: LMFT

Location Address78398 DESERT WILLOW DRPalm Desert, CA 92211-1323

Mailing Address78398 Desert Willow DrPalm Desert, CA 92211-1323 · (562) 537-3977 · Fax (267) 430-2551

Phone(562) 537-3977

Fax(267) 430-2551

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 3, 2015

Last NPPES UpdateDecember 30, 2025

NPPES CertifiedDecember 30, 2025

✔ NPI 1497147235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT84453

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.

78398 DESERT WILLOW DR, Palm Desert, CA 92211

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Juanita Ilene Black Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Juanita Black's NPI number?

The NPI number for Juanita Black is 1497147235. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Juanita Black located?

Juanita Black practices at 78398 Desert Willow Dr, Palm Desert, CA 92211. The listed phone number is (562) 537-3977.

What is Juanita Black's specialty?

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

Is Juanita Black enrolled in Medicare?

No. Juanita Black has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Juanita Black was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.