Blue Sage Wellness PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUE SAGE WELLNESS PLLC

Practice address

2863 N Old Missouri Rd Ste 108D
Fayetteville, AR 72703-3777

Phone

(479) 388-0332

Fax

(479) 239-8440

NPI assigned

Nov 7, 2022

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa FlynnNPI 1942927355

Title

Owner/Manager

Phone

(870) 784-1378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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.

• Alyssa Michelle Flynn, LPC

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1942927355
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1679281877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 S EASTVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 N OLD MISSOURI RD STE 108D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033777",
            "telephone_number": "479-388-0332",
            "fax_number": "479-239-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SAGE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "870-784-1378"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Langley Blanton, MD
• Kaylen Blanton
• Laurie Ann Blasingame, D.P.T
• Kelsey Blaskowski
• Cheyenne Bliss, LPC
• Bluebird Health PLLC
• Christopher Anthony Blum, DO
• Benjamin D Boatwright, BS, QBHP
• Body Mechanix LLC
• Boeckmann Behavioral Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.