The Sage Couch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE SAGE COUCH

Practice address

1390 S Douglas Blvd Ste 7
Midwest City, OK 73130-5270

Phone

(405) 803-0961

Fax

(405) 335-6298

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Aaiza Chaudhry, LCSWNPI 1063023786

Title

Therapist

Phone

(405) 863-7072

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.

• Aaiza Chaudhry, LCSW

  • Clinical Social Worker
  • Midwest City, OK
  • NPI 1063023786
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1033806401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DOUGLAS BLVD STE 7",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DOUGLAS BLVD STE 7",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305270",
            "telephone_number": "405-803-0961",
            "fax_number": "405-335-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAGE COUCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AAIZA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-863-7072",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.