Blue Sage Transitions Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001234 Issued in CO

Legal business name

BLUE SAGE TRANSITIONS THERAPY, PLLC

Practice address

1634 Walnut St Ste 221
Boulder, CO 80302-5400

Phone

(608) 219-1744

Fax

(720) 729-0041

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Connie North, LMFTNPI 1972844298

Title

Co-Owner

Phone

(303) 910-8507

Specialties & licenses 1

Addresses

Other names 1

• Blue Sage Transitions Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie E North, PH.D., M.S.

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1972844298
  NPD Authorized official

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1093296196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 WALNUT ST STE 221",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025400",
            "telephone_number": "608-219-1744",
            "fax_number": "720-729-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 WALNUT ST STE 221",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025400",
            "telephone_number": "608-219-1744",
            "fax_number": "720-729-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Collyer St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805015598",
            "country_code": "US",
            "telephone_number": "303-910-8507",
            "fax_number": "720-729-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE SAGE TRANSITIONS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "303-910-8507",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sage Transitions Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Sage Transitions Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Annette Blum
• Beatriz Paula Blum, LMFT
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• Marriage & Family Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.