Teresablacklmft, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

TERESABLACKLMFT, PLLC

Doing business as

Willow Tree Counseling Group

Practice address

300 Main St Ste 103
Grand Junction, CO 81501-2404

Phone

(970) 299-3307

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Teresa Dawn Black, LMFTNPI 1407368889

Title

Owner

Phone

(970) 250-4098

Specialties & licenses 1

Addresses

Other names 1

• Willow Tree Counseling Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Dawn Black, LMFT

  • Marriage & Family Therapist
  • Grand Junction, CO
  • NPI 1407368889
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1154218634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41045",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815041045",
            "telephone_number": "970-299-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST STE 103",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012404",
            "telephone_number": "970-299-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Skyler St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815014704",
            "country_code": "US",
            "telephone_number": "970-299-3307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERESABLACKLMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-250-4098",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Tree Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darren Lee Tchida, PHARM D
• Surbhi Tchida, MD
• Paul Teerlinck
• Renee Christine Telinde, RN
• Taylor Tennant
• Traci Terhaar, DPT
• Brooke Terkovich
• David W. Terry, D.O.
• Olivia Marie Terwilliger
• Taylor D Tesch

• Marriage & Family Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.