Individual provider Active NPI

Juli Suzanne Black, APRN, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Falls, MN
National Provider Identifier
1922754134
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9026 Issued in MN
Practice address
15088 22ND Ave NE Ste 3
Little Falls, MN 56345-3634
Phone
(320) 429-7535
Fax
(320) 238-7528
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cos PLLC 3 clinicians

Practice addresses (Care Compare)

384 3Rd St NE
Waite Park, MN 56387-1874
Phone (320) 250-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629002590 MN Practitioner - Nurse Practitioner 1759740368 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Psychiatry, LLC CurrentSince Jan 1, 2025 Accepting new patients
Contemporary Mental Health Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Cos PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

15088 22nd Ave NE
Ste 3
Little Falls, MN 56345
Phone (320) 382-5140

21370 John Milless Dr
Ste 210
Rogers, MN 55374
Phone (763) 428-2288

2848 2nd St S
Ste 135
Saint Cloud, MN 56301
Phone (763) 428-2288

384 3rd St NE
Waite Park, MN 56387
Phone (320) 250-9188

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9026 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

15088 22ND Ave NE Ste 3
Little Falls, MN 56345-3634

Mailing address

32518 River Vista LN
Saint Cloud, MN 56303-9564
Phone (320) 429-7535

Other practice location 1

32518 River Vista Ln
Saint Cloud, MN 56303-9564
Phone (309) 229-6956

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2025.

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1922754134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32518 RIVER VISTA LN",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563039564",
            "telephone_number": "320-429-7535",
            "fax_number": "320-238-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15088 22ND AVE NE STE 3",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453634",
            "telephone_number": "320-429-7535",
            "fax_number": "320-238-7528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32518 River Vista Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563039564",
            "country_code": "US",
            "telephone_number": "309-229-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JULI",
        "middle_name": "SUZANNE",
        "credential": "APRN, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.