Karen G Black, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90128 Issued in CA

Practice address

28465 Old Town Front St Ste 221
Temecula, CA 92590-1822

Phone

(951) 445-2105

Fax

(866) 961-5084

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2024 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karen G. Black, Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1659724391
  NPD Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1891046272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28465 OLD TOWN FRONT ST STE 221",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901822",
            "telephone_number": "951-445-2105",
            "fax_number": "866-961-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28465 OLD TOWN FRONT ST STE 221",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901822",
            "telephone_number": "951-445-2105",
            "fax_number": "866-961-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KAREN",
        "middle_name": "G",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA DEPARTMENT OF CONSUMER AFFAIRS",
            "identifier": "90128",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@coffeehousecounseling.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "28465 Old Town Front St Ste 221",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kblack@coffeehousecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "28465 Old Town Front St Ste 221",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925901822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nizjoni Billie-McLendon
• Toni Michelle Binns, L.M.F.T.
• Catherine M Bisson, M.A., MFT
• Richard J Bisson, M.DIV,M.A., MFC
• Parikshit Bittla
• Van Allen Black Jr.
• Katherine Marie Maclay Blackwell, LMFT
• Stephanie Blair, BCBA
• Blank Psychological Services, Inc.
• Emily Blank

• Marriage & Family Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.