Organization Active NPI

Blue Jay Therapy LLC

  • Clinical Social Worker
  • Post Falls, ID
National Provider Identifier
1891594685
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE JAY THERAPY LLC
Practice address
810 N Henry St Ste 430
Post Falls, ID 83854-7665
Phone
(208) 254-1416
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Madeline Kraut, LMSWNPI 1649011909
Title
Owner & Therapist
Phone
(208) 254-1416

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

810 N Henry St Ste 430
Post Falls, ID 83854-7665

Mailing address

229 E Orchard Ave
Hayden, ID 83835-9219

Other identifiers 1

IdentifierTypeStateIssuer
1649011909OtherIDINSURANCE

National Provider Directory

National Provider Directory

Locations

810 N Henry St
Ste 430
Post Falls, ID 83854
Phone (208) 254-1416

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1891594685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E ORCHARD AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N HENRY ST STE 430",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547665",
            "telephone_number": "208-254-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE JAY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KRAUT",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "208-254-1416",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1649011909",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.