NPIMap

Organization Active NPI

Blue Sky Counseling Associates

  • Professional Counselor
  • Alamogordo, NM
National Provider Identifier
1154809283
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BLUE SKY COUNSELING ASSOCIATES
Practice address
1301 Oregon Ave
Alamogordo, NM 88310-5710
Phone
(575) 491-9802
NPI assigned
Jul 31, 2018
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Scott Kimball
Title
Owner
Phone
(575) 443-6166

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

1301 Oregon Ave
Alamogordo, NM 88310-5710

Mailing address

PO Box 553
High Rolls Mountain Park, NM 88325-0553

Other identifiers 1

IdentifierTypeStateIssuer
24735795MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190307000395 NM Part B Supplier - Clinic/Group Practice 7012256175 Receives reassigned benefits from 10 practitioners
Practice locations: Alamogordo, NM

National Provider Directory

National Provider Directory

Locations

1021 N Florida Ave
Alamogordo, NM 88310

1301 Oregon Ave
Alamogordo, NM 88310
Phone (575) 443-6166

1301 Oregon Ave
Ste A
Alamogordo, NM 88310
Phone (575) 214-2886

Practitioners & affiliated clinicians

Practitioners 10

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": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1154809283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "HIGH ROLLS MOUNTAIN PARK",
            "state": "NM",
            "postal_code": "883250553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OREGON AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105710",
            "telephone_number": "575-491-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-443-6166"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24735795",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.