MR. JERRY BLUE
NPI 1942477542
Counselor - Mental Health in San Bernardino, CA
About Mr. Jerry Blue NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY BLUE (NPI 1942477542) is an individual mental health provider in San Bernardino, California and active in the NPI registry since May 2008.
NPPES Registry Identity
Specialties & Licenses
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 Jerry Blue's NPI number?
The NPI number for Jerry Blue is 1942477542. It was assigned to this individual provider in the NPPES registry on May 13, 2008.
Where is Jerry Blue located?
Jerry Blue practices at 572 Arrowhead, San Bernardino, CA 92401. The listed phone number is (909) 266-2700.
What is Jerry Blue's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Jerry Blue was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Jerry Blue · NPI 1942477542
Mental Health provider in San Bernardino, California. Individual provider, active in the CMS NPPES registry since May 13, 2008.
## Identity
- **NPI:** 1942477542 (Entity type: Individual)
- **Enumerated:** May 13, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 572 ARROWHEAD, San Bernardino, CA 92401
- **Phone:** (909) 266-2700
## Record status
- **NPPES last updated:** May 13, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1942477542) · Data from the CMS NPPES public registry.