Blue Sky Counseling, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE SKY COUNSELING, LLC

Practice address

1801 S 23Rd St Ste 4
Fort Pierce, FL 34950-4830

Phone

(772) 801-5192

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Ernesto Perdomo Carmona, BCBA

Title

Manager

Phone

(772) 801-5192

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Blue Sky Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Blue Sky Counseling, LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1659061570
  NPD tax ID

Locations

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1609596162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 23RD ST STE 4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-801-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 23RD ST STE 4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-801-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "PERDOMO CARMONA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-801-5192",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116364100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.