Organization Active NPI

Blu Sage Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Amesbury, MA
National Provider Identifier
1700353034
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLU SAGE COUNSELING SERVICES, LLC
Practice address
4-6 Water St
#4
Amesbury, MA 01914
Phone
(978) 992-8257
NPI assigned
Oct 24, 2018
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Kathy Difraia, LMHCNPI 1003139262
Title
Owner / Mental Health Counselor
Phone
(978) 992-8257

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4-6 Water St
#4
Amesbury, MA 01914

Mailing address

4 Water St Ste 4
Amesbury, MA 01913-2937
Phone (978) 992-8257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250813000390 MA Part B Supplier - Clinic/Group Practice 5991203507 Receives reassigned benefits from 2 practitioners
Practice locations: Amesbury, MA

National Provider Directory

National Provider Directory

Locations

4 Water St
Ste 4
Amesbury, MA 01913
Phone (617) 970-8161

45 Pleasant St
Ste 7
Newburyport, MA 01950

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1700353034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WATER ST STE 4",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132937",
            "telephone_number": "978-992-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-6 WATER ST",
            "address_2": "#4",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01914",
            "telephone_number": "978-992-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLU SAGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "DIFRAIA",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER / MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "978-992-8257",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.