Blu Iris Therapeutic Services,LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLU IRIS THERAPEUTIC SERVICES,LLC

Practice address

189 W Clarkston Rd Ste 208
Lake Orion, MI 48362-2892

Phone

(248) 284-3331

NPI assigned

Nov 15, 2022

Last updated

Dec 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa P Farrell-Byrski, LMSWNPI 1881151017

Title

Owner/Therapist

Phone

(262) 227-5776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Lisa Farrell-Byrski, LMSW

  • Clinical Social Worker
  • Orion Township, MI
  • NPI 1881151017
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1144939406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 W CLARKSTON RD STE 208",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483622892",
            "telephone_number": "248-284-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 W CLARKSTON RD STE 208",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483622892",
            "telephone_number": "248-284-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLU IRIS THERAPEUTIC SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "FARRELL-BYRSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "262-227-5776",
        "authorized_official_credential": "LMSW"
    },
    "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": []
}

• Frances T Berg, MA, LPC, NCC
• Beyond Mindful Counseling and Wellness
• Bridget Schultz Bittner, LMSW
• John P Blake, D.D.S., P.C.
• Blossoming Hearts LLC
• Lyndsay Bohannon, MA, LLP
• Kerry Bolton
• Rachael Bonin, LMSW
• Lauren Bordes, LMSW
• Kerri Borton

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.