Organization Active NPI

Blue Skies Counseling

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1265051403
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE SKIES COUNSELING
Practice address
350 E 400 S St 318
Salt Lake City, UT 84111-2993
Phone
(801) 413-3740
Fax
(801) 931-2173
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Jayne Ann Sumner, LCSWNPI 1861820813
Title
Founder
Phone
(801) 413-3740

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

350 E 400 S St 318
Salt Lake City, UT 84111-2993

Mailing address

350 E 400 S St 318
Salt Lake City, UT 84111-2993
Phone (801) 413-3740

Other identifiers 2

IdentifierTypeStateIssuer
1265051403MedicaidUT
1356899462MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200610003266 UT Part B Supplier - Clinic/Group Practice 3072934421 Receives reassigned benefits from 2 practitioners
Practice locations: Salt Lake City, UT; Tooele, UT

National Provider Directory

National Provider Directory

Locations

350 E 400 S
#318
Salt Lake City, UT 84111
Phone (801) 413-3740

350 E 400 S
Ste 318
Salt Lake City, UT 84111

Practitioners & affiliated clinicians

Practitioners 6

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1265051403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 400 S ST 318",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112993",
            "telephone_number": "801-413-3740",
            "fax_number": "801-931-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 400 S ST 318",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112993",
            "telephone_number": "801-413-3740",
            "fax_number": "801-931-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "801-413-3740",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265051403",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356899462",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.