Organization Active NPI

Donna L Black LCSW PC

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1104901636
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3184 Issued in CO
Legal business name
DONNA L BLACK LCSW PC
Practice address
1720 S Bellaire St
Suite 906
Denver, CO 80222-4333
Phone
(303) 691-3550
Fax
(303) 777-7651
NPI assigned
Oct 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna L Black, LCSW CAC III
Title
President
Phone
(303) 691-3550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 3184 CO Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 989917 CO

Addresses

Primary practice location

1720 S Bellaire St
Suite 906
Denver, CO 80222-4333

Mailing address

1720 S Bellaire St
Suite 906
Denver, CO 80222-4333
Phone (303) 691-3550

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104901636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST",
            "address_2": "SUITE 906",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224333",
            "telephone_number": "303-691-3550",
            "fax_number": "303-777-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST",
            "address_2": "SUITE 906",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224333",
            "telephone_number": "303-691-3550",
            "fax_number": "303-777-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA L BLACK LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-691-3550",
        "authorized_official_credential": "LCSW CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3184",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.