Organization Active NPI

Blue Skies Counseling Service PLLC

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1891181871
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3092 Issued in NC
Legal business name
BLUE SKIES COUNSELING SERVICE PLLC
Practice address
2404 Charles Blvd Ste E
Greenville, NC 27858-5901
Phone
(252) 714-7889
Fax
(252) 689-6178
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Laurie Sowers, LPCNPI 1699934448
Title
Owner
Phone
(252) 714-7889

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3092 NC Primary

Addresses

Primary practice location

2404 Charles Blvd Ste E
Greenville, NC 27858-5901

Mailing address

2404 Charles Blvd Ste E
Greenville, NC 27858-5901
Phone (252) 714-7889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409004508 NC Part B Supplier - Clinic/Group Practice 2567800501 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

1035 Director Ct
#A
Greenville, NC 27858
Phone (252) 258-4783

2404 Charles Blvd
Ste E
Greenville, NC 27858
Phone (252) 714-7889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1891181871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 CHARLES BLVD STE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585901",
            "telephone_number": "252-714-7889",
            "fax_number": "252-689-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 CHARLES BLVD STE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585901",
            "telephone_number": "252-714-7889",
            "fax_number": "252-689-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES COUNSELING SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-714-7889",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.