Active NPI
Blu Ryan Robinson, C.M.H.C
- Mental Health Counselor
- Orem, UT
National Provider Identifier
1083903926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 715062-6004
- Practice address
- 1875 S State St Ste T500
Orem, UT 84097-8090 - Phone
- (801) 319-7170
- NPI assigned
- Mar 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5715062 | UT | |
| Mental Health Counselor | 101YM0800X | 5715062-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 715062-6004 | UT | Primary |
Addresses
Primary practice location
1875 S State St Ste T500
Orem, UT 84097-8090
Mailing address
1219 Town and Country Rd
Springville, UT 84663-3220
Phone (801) 319-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5715062 | UT | MD | Addiction (Substance Use Disorder) Counselor |
| 5715062-6004 | UT | MD | Mental Health Counselor |
| 715062-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1083903926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 TOWN AND COUNTRY RD",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846633220",
"telephone_number": "801-319-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 S STATE ST STE T500",
"city": "OREM",
"state": "UT",
"postal_code": "840978090",
"telephone_number": "801-319-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "BLU",
"middle_name": "RYAN",
"credential": "C.M.H.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "5715062",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "5715062-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "715062-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.