Active NPI
Jessica Blue Sky Vigil, LPC
- Professional Counselor
- Boulder, CO
National Provider Identifier
1386911303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016785
- Practice address
- 1601 29TH St Unit 1292
Boulder, CO 80301-1010 - Phone
- (720) 288-0860
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68566 | TX | |
| Professional Counselor | 101YP2500X | 68566 | TX | |
| Professional Counselor | 101YP2500X | LPC.0016785 | CO | Primary |
Addresses
Primary practice location
1601 29TH St Unit 1292
Boulder, CO 80301-1010
Mailing address
720 S Colorado Blvd PH North
Denver, CO 80246-1904
Phone (415) 424-4266
Other practice location 1
10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234
Phone (720) 288-0860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68566 | TX | MD | Mental Health Counselor |
| LPC.0016785 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1386911303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD PH NORTH",
"city": "DENVER",
"state": "CO",
"postal_code": "802461904",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 29TH ST UNIT 1292",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011010",
"telephone_number": "720-288-0860"
}
],
"practiceLocations": [
{
"address_1": "10775 Pioneer Trl Ste 215",
"address_purpose": "LOCATION",
"city": "Truckee",
"state": "CA",
"postal_code": "961610234",
"country_code": "US",
"telephone_number": "720-288-0860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIGIL",
"first_name": "JESSICA",
"middle_name": "BLUE SKY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2023-01-27",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "68566",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68566",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.