Individual provider Active NPI

Mylouse Millie Sagesse

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1336514165
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC MH14311 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
LMHC MH14311FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Behavioral Services LLC Mental Health CurrentSince Aug 23, 2017 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.

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

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.

Verify at the official NPI Registry.