Semper Blue Consulting, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21805 Issued in TX

Legal business name

SEMPER BLUE CONSULTING, LLC

Practice address

1416 Eagles Nest TRL
Krum, TX 76249-7527

Phone

(484) 655-9163

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brad Bevelhimer

Title

Owner

Phone

(484) 655-9163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689101248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 EAGLES NEST TRL",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762497527",
            "telephone_number": "484-655-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 EAGLES NEST TRL",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762497527",
            "telephone_number": "484-655-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER BLUE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEVELHIMER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-655-9163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Krum, TX
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.