Blue Heron Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

000376 Issued in CT

Legal business name

BLUE HERON HEALTH LLC

Practice address

82A Meadow St
Litchfield, CT 06759-3543

Phone

(203) 814-1455

Fax

(203) 264-2208

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alice P Bell, ND

Title

Owner

Phone

(203) 873-8050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1487130605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST S STE 205",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882275",
            "telephone_number": "203-814-1455",
            "fax_number": "203-264-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82A MEADOW ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593543",
            "telephone_number": "203-814-1455",
            "fax_number": "203-264-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-873-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "000376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lincoln Bell
• Mary Jospehine Bernheim, CRNA
• Barrie Birge, MLSW
• Bloom Pediatric Therapy, PLLC
• Lauren J Blouin, CCC-SLP
• Boden Counseling LLC
• Candace I Boden, LCSW
• Bianca Bolduc
• Christina Borel, LCSW, LICSW
• Michael A Bosson, L.O.

• All providers in Litchfield, CT
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.