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BLUE SKY MIND LLC
NPI 1427853662
Social Worker - Clinical in Clarkston, MI

Active since February 13, 2025
39 S MAIN ST STE 4, CLARKSTON, MI 48346(313) 473-0150(313) 490-3180 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Apr 7, 2025, Mar 31, 2025 and 1 more (4 updates tracked since 2025).

About Blue Sky Mind Llc NPPES

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

BLUE SKY MIND LLC (NPI 1427853662), doing business as Blue Sky Mind Therapy And Nutrition, is a healthcare organization registered as a clinical in Clarkston, Michigan and active in the NPI registry since February 2025. The organization lists Megan Gougeon, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1427853662
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLUE SKY MIND LLC
Location Address39 S MAIN ST STE 4Clarkston, MI 48346-1593
Mailing Address39 S Main St Ste 4Clarkston, MI 48346-1593 · (313) 473-0150 · Fax (313) 490-3180
Phone(313) 473-0150
Fax(313) 490-3180
Organization SubpartNo
Authorized OfficialMegan GougeonAuthorized Agent · (313) 473-0150
Enumeration DateFebruary 13, 2025
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1427853662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
39 S MAIN ST STE 4, Clarkston, MI 48346
Open in Google Maps ↗

Other Names 1

Doing Business AsBlue Sky Mind Therapy And Nutrition

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Sky Mind Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Sky Mind LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Megan Gougeon, LMSW
Clinical Social Worker
NPI 1942914999
39 S MAIN ST STE 4
Clarkston, MI 48346
(313) 473-0150
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blue Sky Mind LLC's NPI number?

The NPI number for Blue Sky Mind LLC is 1427853662. It was assigned to this organization in the NPPES registry on February 13, 2025. The provider is doing business as Blue Sky Mind Therapy and Nutrition.

Where is Blue Sky Mind LLC located?

Blue Sky Mind LLC is located at 39 S Main St Ste 4, Clarkston, MI 48346. The listed phone number is (313) 473-0150.

What is Blue Sky Mind LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Blue Sky Mind LLC enrolled in Medicare?

Yes. Blue Sky Mind LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Sky Mind LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Blue Sky Mind LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blue Sky Mind LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Blue Sky Mind LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Sky Mind LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.