Teresa Dawn Black, LMFT-C in Grand Junction, CO - Medicare Marriage & Family Therapist Provider

Teresa Dawn Black, LMFT-C is a medicare enrolled "Marriage & Family Therapist" provider in Grand Junction, Colorado. Her current practice location is 515 28 3/4 Rd, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 241-6023.

Teresa Dawn Black is licensed to practice in Colorado (license number MFTC.0014454) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407368889.

Contact Information

	Teresa Dawn Black, LMFT-C
	515 28 3/4 Rd, Grand Junction, CO 81501-5016
	(970) 241-6023
	(970) 242-8330

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa Dawn Black
Gender	Female
Speciality	Marriage & Family Therapist
Location	515 28 3/4 Rd, Grand Junction, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407368889
Provider Enumeration Date: 10/25/2017
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2163873050
Enrollment ID: I20240104002255

Medical Identifiers

Medical identifiers for Teresa Dawn Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407368889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MFTC.0014454 (Colorado)	Secondary
106H00000X	Marriage & Family Therapist	MFTC.0014454 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teresa Dawn Black allows following entities to bill medicare on her behalf.

Entity Name	Colorado West Regional Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992708176 PECOS PAC ID: 8628977329 Enrollment ID: O20031231000654

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Dawn Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Teresa Dawn Black, LMFT-C 715 Horizon Dr Ste 225, Grand Junction, CO 81506-8743 Ph: () -	Teresa Dawn Black, LMFT-C 515 28 3/4 Rd, Grand Junction, CO 81501-5016 Ph: (970) 241-6023

Reviews and Comments

Marriage & Family Therapist in Grand Junction, CO

Steven Landman Sr., MSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 726 Colorado Ave, Grand Junction, CO 81501 Phone: 970-245-6624
Rickelle Rose Hicks, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 515 28 3/4 Rd, Grand Junction, CO 81501 Phone: 970-241-6023 Fax: 970-242-8330
Cheryl Young, Couples Therapy Medicare: Medicare Enrolled Practice Location: 3150 N.12th Street, Grand Junction, CO 81506 Phone: 970-242-5707
Randall Scot Reitz, PHD Couples Therapy Medicare: Medicare Enrolled Practice Location: 1160 Patterson Rd, Grand Junction, CO 81506 Phone: 970-298-2800 Fax: 970-298-6902
Glenda Mueni Mutinda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2698 Patterson Rd, Grand Junction, CO 81506 Phone: 970-298-2800
Charlotte Stapley, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1141 N 25th St Unit E, Suite 3, Grand Junction, CO 81501 Phone: 970-822-7533
Maria Wilder-doyle, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 327 N 7th St, Ste 25, Grand Junction, CO 81501 Phone: 970-433-1829

Teresa Dawn Black, LMFT-C - Medicare Couples Therapy in Grand Junction, CO