Blue Star Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE STAR COUNSELING, PLLC

Practice address

100 N Howard St Ste W
Spokane, WA 99201-0508

Phone

(562) 999-2024

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Jeffery Duane Clark, MSW, LICSW

Title

Clinical Social Worker

Phone

(562) 999-2024

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1033955018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OSPREY DR",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990045222",
            "telephone_number": "509-953-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "562-999-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "562-999-2024",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Rae Blowers, LMT
• Gaye E Bloxom, PA-C
• Jodie L Bloyed, LMT
• Blue Mountain Neuropsychological Associates
• Blue Mountain Neuropsychological Associates, PS
• Chelsey Marie Blue-Sneed, LPN
• Kat R Bluff Bopp, LMT
• Alyson Kathleen Blum, PHARMD
• Daniel Blum
• Ryan William Blum, M.D.

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.