Blue Sky Counseling Center Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPCC26 Issued in CA

Legal business name

BLUE SKY COUNSELING CENTER CORPORATION

Practice address

1899 E Roseville Pkwy
Suite 140
Roseville, CA 95661-7979

Phone

(916) 747-3799

Fax

(916) 756-0352

NPI assigned

May 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jennica Rachel Jenkins, PSYD, LPCC26

Title

President Clinical Director

Phone

(916) 747-3799

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1346652187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SUNSET BLVD",
            "address_2": "SUITE 170-241",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654338",
            "telephone_number": "916-747-3799",
            "fax_number": "916-756-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 E ROSEVILLE PKWY",
            "address_2": "SUITE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617979",
            "telephone_number": "916-747-3799",
            "fax_number": "916-756-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY COUNSELING CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JENNICA",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "916-747-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPCC26"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LPCC26",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "LPC6072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Roseville, CA
• Providers in Roseville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.