Organization Active NPI

Blue Bird Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
National Provider Identifier
1093675464
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLUE BIRD COUNSELING
Practice address
17505 N 79TH Ave Ste 111F
Glendale, AZ 85308-8724
Phone
(602) 806-8912
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Nicole McLaughlinNPI 1205236361
Title
Owner
Phone
(602) 806-8912

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

17505 N 79TH Ave Ste 111F
Glendale, AZ 85308-8724

Mailing address

17505 N 79TH Ave Ste 111F
Glendale, AZ 85308-8724
Phone (480) 788-4191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1093675464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 111F",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "480-788-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 111F",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-806-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BIRD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-806-8912"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.