Blue Rider Expressive Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLUE RIDER EXPRESSIVE THERAPY PLLC

Practice address

2528 Dwight Cochran Rd
Duck River, TN 38454-3434

Phone

(517) 215-6766

Fax

(517) 215-6766

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BLUE RIDER EXPRESSIVE THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Ms. Jennifer Watts, WATTSNPI 1700251386

Title

Owner

Phone

(517) 215-6766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Part of

Blue Rider Expressive Therapy LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Blue Rider Expressive Therapy LLC

  • Professional Counselor
  • Duck River, TN
  • NPI 1477172666
  NPPES parent name

Practitioners 1

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.

• Jennifer Jean Watts, LLPC

  • Mental Health Counselor
  • Brighton, MI
  • NPI 1700251386

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1619823606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 DWIGHT COCHRAN RD",
            "city": "DUCK RIVER",
            "state": "TN",
            "postal_code": "384543434",
            "telephone_number": "517-215-6766",
            "fax_number": "517-215-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 DWIGHT COCHRAN RD",
            "city": "DUCK RIVER",
            "state": "TN",
            "postal_code": "384543434",
            "telephone_number": "517-215-6766",
            "fax_number": "517-215-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDER EXPRESSIVE THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE RIDER EXPRESSIVE THERAPY LLC",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-215-6766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "WATTS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Rider Expressive Therapy LLC
• Victoria Elizabeth Daly, RD

• Mental Health Counselor in Duck River, TN
• Providers in Duck River, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.