Sage Elite Healing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAGE ELITE HEALING LLC

Practice address

1495 Canyon Blvd
Ste 200B
Boulder, CO 80302-5367

Phone

(720) 460-7660

Fax

(303) 648-6686

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Mark Van Steenberg, LCSW

Title

Founder / Ceo

Phone

(720) 460-7660

Specialties & licenses 2

Addresses

Other names 1

• Sage Elite Healing Doing business as

Electronic endpoints 3

Locations

Practitioners 1

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

• Suzanne Bidwell, LICSW

  • Clinical Social Worker
  • Savage, MN
  • NPI 1790322246
  NPD

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1316616246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 271327",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275026",
            "telephone_number": "720-460-7660",
            "fax_number": "303-648-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CANYON BLVD",
            "address_2": "STE 200B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025367",
            "telephone_number": "720-460-7660",
            "fax_number": "303-648-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE ELITE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "VAN STEENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "720-460-7660",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark@sageelitehealing.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Superior Dr Ste 200",
            "city": "Superior",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800278654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark@sageelitehealing.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Superior Dr Ste 200",
            "city": "Superior",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800278654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark@sageelitehealing.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Superior Dr Ste 200",
            "city": "Superior",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800278654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sage Elite Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.