Organization Active NPI

Blue Mountain Counseling, LLC

  • Professional Counselor
  • Grand JCT, CO
National Provider Identifier
1093567430
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BLUE MOUNTAIN COUNSELING, LLC
Practice address
743 Horizon CT Ste 310-B
Grand JCT, CO 81506-8701
Phone
(970) 361-2088
Fax
(844) 888-1231
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Virginia Rusy, LPCNPI 1669870838
Title
Owner
Phone
(970) 361-2088

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

743 Horizon CT Ste 310-B
Grand JCT, CO 81506-8701

Mailing address

743 Horizon CT Ste 310-B
Grand JCT, CO 81506-8701
Phone (970) 361-2088

Other identifiers 1

IdentifierTypeStateIssuer
1265967095OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627001522 CO Part B Supplier - Clinic/Group Practice 6800237769 Receives reassigned benefits from 1 practitioner
Practice locations: Grand JCT, CO

National Provider Directory

National Provider Directory

Locations

743 Horizon Ct
Ste 310B
Grand Junction, CO 81506
Phone (970) 361-2088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1093567430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 310-B",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-361-2088",
            "fax_number": "844-888-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 310-B",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-361-2088",
            "fax_number": "844-888-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "RUSY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-361-2088",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265967095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.