Organization Active NPI

Sage Counseling, LLC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1255977922
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGE COUNSELING, LLC
Practice address
1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794
Phone
(321) 222-7333
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Elizabeth Lacy, LMHCNPI 1730502147
Title
Owner
Phone
(321) 222-7333

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

1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794

Mailing address

1819 Riverview Dr Ste 201C
Melbourne, FL 32901-4794
Phone (321) 222-7333

National Provider Directory

National Provider Directory

Locations

2060 Highway A1A
Ste 303
Indian Harbour Beach, FL 32937
Phone (321) 242-2026

1819 Riverview Dr
Ste 201C
Melbourne, FL 32901
Phone (321) 222-7333

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": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1255977922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 RIVERVIEW DR STE 201C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014794",
            "telephone_number": "321-222-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 RIVERVIEW DR STE 201C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014794",
            "telephone_number": "321-222-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-222-7333",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.