Organization Active NPI

Blu Orchard Therapy of Washington

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1760217707
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLU ORCHARD THERAPY OF WASHINGTON
Practice address
1800 Cooper Point Rd SW Ste 22
Olympia, WA 98502-1179
Phone
(801) 824-2421
NPI assigned
Sep 6, 2024
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Colin Jackson
Title
Administrator
Phone
(801) 824-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW Ste 22
Olympia, WA 98502-1179

Mailing address

1800 Cooper Point Rd SW Ste 22B
Olympia, WA 98502-1179
Phone (801) 824-2421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107001478 WA Part B Supplier - Clinic/Group Practice 0345778114 Receives reassigned benefits from 4 practitioners
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

1800 Cooper Point Rd SW
Ste 22
Olympia, WA 98502
Phone (561) 201-9281

1800 Cooper Point Rd SW
Ste 22B
Olympia, WA 98502

Practitioners & affiliated clinicians

Practitioners 5

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": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1760217707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 22B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "801-824-2421",
            "fax_number": "360-727-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 22",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "801-824-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLU ORCHARD THERAPY OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-824-2421"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.