Organization Active NPI

Blue Sage Counseling and Wellness, PLLC

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1306359153
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1663 Issued in NC
Legal business name
BLUE SAGE COUNSELING AND WELLNESS, PLLC
Practice address
5200 Park Rd Ste 229
Charlotte, NC 28209-3651
Phone
(704) 778-6141
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Ashley Francis, MS, LMFT, LPCANPI 1316324940
Title
Licensed Marriage and Family Therap
Phone
(704) 778-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X A10010 NC
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 1663 NC Primary

Addresses

Primary practice location

5200 Park Rd Ste 229
Charlotte, NC 28209-3651

Mailing address

5200 Park Rd Ste 229
Charlotte, NC 28209-3651
Phone (704) 778-6141

National Provider Directory

National Provider Directory

Locations

5200 Park Rd
Ste 229
Charlotte, NC 28209
Phone (704) 778-6141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1306359153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 229",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093651",
            "telephone_number": "704-778-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 229",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093651",
            "telephone_number": "704-778-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SAGE COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
        "authorized_official_telephone_number": "704-778-6141",
        "authorized_official_credential": "MS, LMFT, LPCA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10010",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.