Active NPI
Mylouse Millie Sagesse
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1336514165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC MH14311
- Practice address
- 4720 Salisbury Rd
Jacksonville, FL 32256-6101 - Phone
- (904) 562-1391
- Fax
- (904) 562-1361
- NPI assigned
- Dec 4, 2015
- Last updated
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC MH14311 | FL | Primary |
Addresses
Primary practice location
4720 Salisbury Rd
Jacksonville, FL 32256-6101
Mailing address
4720 Salisbury Rd
Jacksonville, FL 32256-6101
Phone (904) 562-1391
Other names 1
- Milouse Sagesse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC MH14311 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Behavioral Services LLC | Mental Health | Current | Accepting new patients |
Locations
4500 Salisbury Rd
Ste 490
Jacksonville, FL 32216
Phone (904) 562-1391
4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1801261631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1336514165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 SALISBURY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566101",
"telephone_number": "904-562-1391",
"fax_number": "904-562-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 SALISBURY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566101",
"telephone_number": "904-562-1391",
"fax_number": "904-562-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGESSE",
"first_name": "MYLOUSE",
"middle_name": "MILLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2021-01-25",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "LMHC MH14311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILOUSE",
"last_name": "SAGESSE",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jacksonville, FL
- Sage Dental of Jacksonville Marietta PLLC
- Sage Dental of Jacksonville Midtown PLLC
- Sage Dental of Jacksonville Southside PLLC
- Sandi Lea Sage, PH.D, LMHC
- Sagepoint Care Agency LLC
- Syed Hamad Sagheer, MD
- Venkata S Sagi, M.D.
- Jennifer Kay Sagle, LMHC
- Debabrata Saha, MD
- Karen Ellen Sahakian-Cortinas, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.