Mikaela Sage Bliss

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1706 N. Circle Dr. Colorado Springs, Co 80909
Colorado Springs, CO 89090

Phone

(171) 935-4529

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1669153391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N ALBION ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 N. CIRCLE DR. COLORADO SPRINGS, CO 80909",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "89090",
            "telephone_number": "171-935-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5423 Spoked Wheel Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809238741",
            "country_code": "US",
            "telephone_number": "171-935-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLISS",
        "first_name": "MIKAELA",
        "middle_name": "SAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Blickenderfer, MSW, LCSW
• Whitney Leigh Blinzinger, NP
• Adam D Bliss, NP
• Chloe Marguerite Bliss
• David Paul Bliss Jr., M.D.
• Jason Bernard Blitz, M.D.
• Jeffrey K Blixt, D.O.
• Emily Christine Blohm, M.S. CCC- SLP
• Eric E Blom, MD
• Alexandra Blomquist, DDS

• Behavior Technician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.