NPIMap

Organization Active NPI

Sage Mental Wellness Center

  • Mental Health Counselor
  • Columbus, GA
National Provider Identifier
1093546376
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGE MENTAL WELLNESS CENTER
Doing business as
SAGE Mental Wellness Center
Practice address
1329 Wynnton Rd
Columbus, GA 31906-2919
Phone
(706) 441-3431
NPI assigned
Aug 9, 2024
Organization subpart
Yes
Parent organization
SAGE MENTAL WELLNESS CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Alena Porter, LPCNPI 1245713353
Title
Owner
Phone
(762) 212-3404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1329 Wynnton Rd
Columbus, GA 31906-2919

Mailing address

9010 Seedling Dr
Midland, GA 31820-4369

Other names 1

  • SAGE Mental Wellness Center Doing business as

National Provider Directory

National Provider Directory
Part of
Sage Mental Wellness Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1093546376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 SEEDLING DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 WYNNTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062919",
            "telephone_number": "706-441-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MENTAL WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE MENTAL WELLNESS CENTER LLC",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-212-3404",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAGE Mental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAGE Mental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.