Healthcare Provider Details

I. General information

NPI: 1952248049
Provider Name (Legal Business Name): BLUE SAGE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HENDERSON DR STE A
CHEYENNE WY
82001-5840
US

IV. Provider business mailing address

3001 HENDERSON DR STE A
CHEYENNE WY
82001-5840
US

V. Phone/Fax

Practice location:
  • Phone: 307-369-1022
  • Fax: 307-263-0498
Mailing address:
  • Phone: 307-369-1022
  • Fax: 307-263-0498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA SCHNELL
Title or Position: PRESIDENT
Credential: LPC, NCSP
Phone: 307-369-1022