Organization Active NPI

Black Opal Wellness PLLC

  • Marriage & Family Therapist
  • Eveleth, MN
National Provider Identifier
1790608719
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLACK OPAL WELLNESS PLLC
Practice address
3815 N Pleasant Lake Rd
Eveleth, MN 55734-4088
Phone
(218) 994-2639
NPI assigned
Aug 4, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Jada Strumbell Grabanski, LMFTNPI 1093423840
Title
Owner
Phone
(218) 994-2639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3815 N Pleasant Lake Rd
Eveleth, MN 55734-4088

Mailing address

3815 N Pleasant Lake Rd
Eveleth, MN 55734-4088
Phone (218) 994-2639

Other practice location 1

214 Chandler Ave
Eveleth, MN 55734-1675
Phone (218) 780-9499

Other practice location 2

1402 Progress Park Pkwy
Eveleth, MN 55734-8626
Phone (218) 994-2639

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1790608719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N PLEASANT LAKE RD",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557344088",
            "telephone_number": "218-994-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N PLEASANT LAKE RD",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557344088",
            "telephone_number": "218-994-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Chandler Ave",
            "address_purpose": "LOCATION",
            "city": "Eveleth",
            "state": "MN",
            "postal_code": "557341675",
            "country_code": "US",
            "telephone_number": "218-780-9499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 Progress Park Pkwy",
            "address_purpose": "LOCATION",
            "city": "Eveleth",
            "state": "MN",
            "postal_code": "557348626",
            "country_code": "US",
            "telephone_number": "218-994-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACK OPAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "STRUMBELL GRABANSKI",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-994-2639",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eveleth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.