Individual provider Active NPI

Jennifer Kay Sagle, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1104599448
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18586 Issued in FL
Practice address
8325 Sunflower CT
Jacksonville, FL 32244-5764
Phone
(904) 562-9959
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH18586 FL
Professional Counselor 101YP2500X MH18586 FL
Behavior Analyst 103K00000X MH18586 FL
Specialist 174400000X MH18586 FL
Mental Health Counselor 101YM0800X MH18586 FL Primary

Addresses

Primary practice location

8325 Sunflower CT
Jacksonville, FL 32244-5764

Mailing address

8325 Sunflower CT
Jacksonville, FL 32244-5764
Phone (904) 562-9959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mafiahyena0@icloud.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18586FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC CurrentSince Jan 14, 2025 Accepting new patients

Locations

433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084

4870 Belfort Rd
Jacksonville, FL 32256
Phone (904) 322-0774

4455 Merrimac Ave
Jacksonville, FL 32210
Phone (904) 389-5959

4250 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 224-3553

5501 E Michigan St
Orlando, FL 32822
Phone (407) 277-7225

5433 W State Road 46
Sanford, FL 32771
Phone (407) 322-2207

4902 Bayshore Blvd
Tampa, FL 33611
Phone (813) 416-9814

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1104599448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 SUNFLOWER CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445764",
            "telephone_number": "904-562-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 SUNFLOWER CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445764",
            "telephone_number": "904-562-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGLE",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH18586",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH18586",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH18586",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MH18586",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mafiahyena0@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8325 Sunflower Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322445764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.