Active NPI
Juanita Ilene Black, LMFT
- Marriage & Family Therapist
- Palm Desert, CA
National Provider Identifier
1497147235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT84453
- Practice address
- 78398 Desert Willow Dr
Palm Desert, CA 92211-1323 - Phone
- (562) 537-3977
- Fax
- (267) 430-2551
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT84453 | CA | Primary |
Addresses
Primary practice location
78398 Desert Willow Dr
Palm Desert, CA 92211-1323
Mailing address
78398 Desert Willow Dr
Palm Desert, CA 92211-1323
Phone (562) 537-3977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
78398 Desert Willow Dr
Palm Desert, CA 92211-1323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT84453 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1497147235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78398 DESERT WILLOW DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922111323",
"telephone_number": "562-537-3977",
"fax_number": "267-430-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78398 DESERT WILLOW DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922111323",
"telephone_number": "562-537-3977",
"fax_number": "267-430-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "JUANITA",
"middle_name": "ILENE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT84453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.