NPIMap

Organization Active NPI

Sage Elite Healing LLC

Doing business as Sage Elite Healing

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1316616246
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAGE ELITE HEALING LLC
Doing business as
Sage Elite Healing
Practice address
1495 Canyon Blvd
Ste 200B
Boulder, CO 80302-5367
Phone
(720) 460-7660
Fax
(303) 648-6686
NPI assigned
Sep 13, 2021
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Mark Van Steenberg, LCSWNPI 1093101602
Title
Founder / Ceo
Phone
(720) 460-7660

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

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

Mailing address

P.O. Box 271327
Louisville, CO 80027-5026
Phone (720) 460-7660

Other names 1

  • Sage Elite Healing Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mark@sageelitehealing.com Direct
Direct Messaging Address mark@sageelitehealing.com Direct
Direct Messaging Address mark@sageelitehealing.com Direct

National Provider Directory

National Provider Directory

Locations

1495 Canyon Blvd
Ste 200B
Boulder, CO 80302
Phone (720) 460-7660

Practitioners & affiliated clinicians

Practitioners 2

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": "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"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • 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.