NPIMap

Organization Active NPI

Blue Skies Mental Health Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Quitman, TX
National Provider Identifier
1407422652
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLUE SKIES MENTAL HEALTH SERVICES, PLLC
Practice address
606 E Goode St Ste 100
Quitman, TX 75783-2566
Phone
(903) 763-2421
NPI assigned
May 28, 2021
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Mrs. Valerie McWhorter, PMHNP-BCNPI 1689248015
Title
Business Manager
Phone
(903) 456-3014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

606 E Goode St Ste 100
Quitman, TX 75783-2566

Mailing address

645 County Road 1306
Quitman, TX 75783-3347
Phone (903) 456-3014

National Provider Directory

National Provider Directory
Tax ID family
Ava Health and Wellness PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

606 E Goode St
Ste 100
Quitman, TX 75783
Phone (903) 763-2421

Practitioners & affiliated clinicians

Practitioners 5

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": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1407422652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 COUNTY ROAD 1306",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757833347",
            "telephone_number": "903-456-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E GOODE ST STE 100",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757832566",
            "telephone_number": "903-763-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES MENTAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "903-456-3014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.