Organization Active NPI

Blue Sky Behavioral Health Services

  • Counselor
  • Durango, CO
National Provider Identifier
1659575637
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2695 Issued in NM
Legal business name
BLUE SKY BEHAVIORAL HEALTH SERVICES
Practice address
215 Riverview Dr
Durango, CO 81301-4351
Phone
(970) 946-0604
Fax
(970) 382-9301
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Ms. Patricia Gail Rickey, MA, LPCNPI 1588790414
Title
Behavioral Support Consultant
Phone
(970) 946-0604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 2695 NM Primary

Addresses

Primary practice location

215 Riverview Dr
Durango, CO 81301-4351

Mailing address

215 Riverview Dr
Durango, CO 81301-4351
Phone (970) 946-0604

Other identifiers 2

IdentifierTypeStateIssuer
D3878MedicaidNM
1588790414OtherCOINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1659575637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RIVERVIEW DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014351",
            "telephone_number": "970-946-0604",
            "fax_number": "970-382-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RIVERVIEW DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014351",
            "telephone_number": "970-946-0604",
            "fax_number": "970-382-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "RICKEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "BEHAVIORAL SUPPORT CONSULTANT",
        "authorized_official_telephone_number": "970-946-0604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NM",
            "license": "2695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3878",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1588790414",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.