BEYOND BLUE HEALTH SERVICES LLC
NPI 1205415957
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Phoenix, AZ

Active since April 07, 2021
7550 N 19TH AVE STE 104, PHOENIX, AZ 85021(602) 946-4120 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2022, Jun 22, 2021, Apr 19, 2021 and 1 more (4 updates tracked since 2021).

About Beyond Blue Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEYOND BLUE HEALTH SERVICES LLC (NPI 1205415957) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Phoenix, Arizona and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Phoenix and lists Keona Scott, Owner, as its authorized official.

NPPES Registry Identity

NPI1205415957
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameBEYOND BLUE HEALTH SERVICES LLC
Location Address7550 N 19TH AVE STE 104Phoenix, AZ 85021-7982
Mailing Address7550 N 19th Ave Ste 104Phoenix, AZ 85021-7982 · (602) 946-4120
Organization SubpartNo
Authorized OfficialKeona ScottOwner · (702) 689-8658
Enumeration DateApril 7, 2021
Last NPPES UpdateMay 4, 20224 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1205415957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Taxonomy Code261QR0401X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
7550 N 19TH AVE STE 104, Phoenix, AZ 85021

Other Names 1

Former Legal Business NameBeyond Blue Health Services Llc

Secondary Practice Location 1

Location 15060 N 19th Ave Ste 308Phoenix, AZ 85015-3213 · Phone (702) 689-8658

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
7550 N 19TH AVE STE 104
PHOENIX, AZ 85021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beyond Blue Health Services LLC's NPI number?

The NPI number for Beyond Blue Health Services LLC is 1205415957. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Beyond Blue Health Services LLC located?

Beyond Blue Health Services LLC is located at 7550 N 19th Ave Ste 104, Phoenix, AZ 85021. The listed phone number is (602) 946-4120.

What is Beyond Blue Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Beyond Blue Health Services LLC was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.