Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jill Michele Black, LMFT

Individual provider Marriage & Family Therapist · NPI 1063757268

Jill Michele Black, LMFT is a Marriage & Family Therapist in Agoura Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

30101 Agoura Ct Lbby 3 Ste 150
Agoura Hills, CA 91301-5806
Phone: (805) 657-2511
Fax: (805) 856-2219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 52229 (CA)

Record details

NPI number1063757268
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedNovember 29, 2012
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020

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