Sage Marie Telljohann

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

529 S Elizabeth St
Lima, OH 45804-1213

Phone

(937) 642-9555

NPI assigned

May 13, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wingsrecoveryohio/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wings Enrichment Center

  • Community/Behavioral Health Agency
  • Marysville, OH
  • NPI 1104213925
  NPD (past)
• Wings Support and Recovery

  • Community/Behavioral Health Agency
  • Marysville, OH
  • NPI 1669940995
  NPD (past)

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1043148463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 S WALNUT ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401643",
            "telephone_number": "937-642-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S ELIZABETH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041213",
            "telephone_number": "937-642-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLJOHANN",
        "first_name": "SAGE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca May Taylor
• Brian Taylor, D.O.
• Lindsey Rose Taylor, LSW
• Russell J Taylor, MD
• Sara Taylor, PA-C
• Angelette Tenhoven, MA, MSW, LISW, LICDC
• Haley Teodosio, LPC
• Donald Terrace, FNP-BC
• Terrific Teeth LLC
• Mary Jalene Terry

• All providers in Lima, OH
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.