Blue Spruce Counseling Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BLUE SPRUCE COUNSELING SERVICES

Practice address

247 S Alaska St Ste a
Palmer, AK 99645-6335

Phone

(907) 434-1079

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn J Hall, LCSW CDC INPI 1992007603

Title

Owner

Phone

(907) 434-1079

Specialties & licenses 1

Addresses

Other names 1

• Blue Spruce Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

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.

• Kathryn Jane Hall, LCSW

  • Clinical Social Worker
  • Wasilla, AK
  • NPI 1992007603

  AK

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1245949478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870758",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870758",
            "telephone_number": "907-434-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST STE A",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-434-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRUCE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-434-1079",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW CDC I"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Spruce Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Alexandra Blake, DC
• Julee R Blankenship, PTA
• Edward Blocker, CARE COORDINATOR
• Olivia H Blood
• Amy Bloom, PT, DPT
• Body in Balance Physical Therapy Inc
• Olivia Bordenkircher, LMT
• Borealis Behavioral Health
• Alyson Born
• Katie Bossart

• All providers in Palmer, AK
• Adult Mental Health Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.