Active NPI
Blue Libelula Inc
- Counseling Psychologist
- Baker City, OR
National Provider Identifier
1003490590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- BLUE LIBELULA INC
- Practice address
- 2509 1St St
Baker City, OR 97814-2301 - Phone
- (818) 579-2156
- Fax
- (541) 239-5506
- NPI assigned
- May 10, 2021
- Organization subpart
- Yes
- Parent organization
- BLUE LIBELULA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guadalupe Kirklin, LMFT
- Title
- President / Owner
- Phone
- (805) 701-9894
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
2509 1St St
Baker City, OR 97814-2301
Mailing address
PO Box 865
Baker City, OR 97814-0865
Phone (818) 579-2156
Other practice location 1
721 S A St
Oxnard, CA 93030-7179
Phone (818) 579-2156
Other names 2
- BLUE LIBELULA PSYCHOLOGY
- Guadalupe Kirklin
National Provider Directory
National Provider Directory- Part of
- Blue Libelula Inc
Locations
721 S A St
Oxnard, CA 93030
Phone (805) 794-1857
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1891904777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1003490590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 865",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978140865",
"telephone_number": "818-579-2156",
"fax_number": "541-239-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 1ST ST",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978142301",
"telephone_number": "818-579-2156",
"fax_number": "541-239-5506"
}
],
"practiceLocations": [
{
"address_1": "721 S A St",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930307179",
"country_code": "US",
"telephone_number": "818-579-2156",
"fax_number": "541-239-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLUE LIBELULA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLUE LIBELULA INC",
"enumeration_date": "2021-05-10",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "KIRKLIN",
"authorized_official_first_name": "GUADALUPE",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "805-701-9894",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BLUE LIBELULA PSYCHOLOGY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Guadalupe Kirklin",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.