| Blue Skies Counseling | |
|
2150 S 1300 E Ste 500 Salt Lake City UT 84106-4375 | |
| (801) 413-3740 | |
| (801) 931-2173 |
| Full Name | Blue Skies Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 2150 S 1300 E Ste 500, Salt Lake City, Utah |
| Authorized Official Name and Position | Jayne Ann Sumner (OWNER) |
| Authorized Official Contact | 8014133740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Skies Counseling 1166 N 220 W Unit 128 Tooele UT 84074-9074 Ph: (801) 413-3740 | Blue Skies Counseling 2150 S 1300 E Ste 500 Salt Lake City UT 84106-4375 Ph: (801) 413-3740 |
| NPI Number | 1265051403 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/23/2021 |
| Medicare PECOS PAC ID | 3072934421 |
|---|---|
| Medicare Enrollment ID | O20200610003266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265051403 | NPI | - | NPPES |
| 1861820813 | Medicaid | UT |
| Provider Name | Jayne Ann Sumner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861820813 PECOS PAC ID: 0648504654 Enrollment ID: I20190625003421 |
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