Sage Creek Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAGE CREEK COUNSELING LLC

Practice address

185 44TH St SW Ste E
Grandville, MI 49418-3363

Phone

(616) 690-5523

NPI assigned

May 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kayleigh Peffers, LMSW, ADSNPI 1386161693

Title

Clinical Therapist

Phone

(616) 690-5523

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayleigh Jean Peffers

  • Clinical Social Worker
  • Newaygo, MI
  • NPI 1386161693
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1013756139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 44TH ST SW STE E",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 44TH ST SW STE E",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183363",
            "telephone_number": "616-690-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CREEK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "PEFFERS",
        "authorized_official_first_name": "KAYLEIGH",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "616-690-5523",
        "authorized_official_credential": "LMSW, ADS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Barbara Royce
• Timothy Grayson Royer, PSYD
• Joanne Rozema, FNP
• Steven James Runner, TLLP
• RX Optical Laboratories, Inc.
• Byron Otoniel Salguero, MA
• Kelly Raye Salik
• Jacqueline Violeta Sanchez
• Mark Sanders, PSY.D
• Trisha Anne Sanjose, CPHT

• Clinical Social Worker in Grandville, MI
• Providers in Grandville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.