Organization Active NPI

Sage Life Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
National Provider Identifier
1346855194
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAGE LIFE COUNSELING
Practice address
7800 Madison Blvd Ste 705
Huntsville, AL 35806-2049
Phone
(256) 617-3236
NPI assigned
Sep 9, 2020
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Jessica Zimmermann, LICSWNPI 1831696608
Title
Therapist
Phone
(256) 617-3236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

7800 Madison Blvd Ste 705
Huntsville, AL 35806-2049

Mailing address

127 Mildred Way
Madison, AL 35756-4072
Phone (256) 617-3236

National Provider Directory

National Provider Directory

Locations

7800 Madison Blvd
Ste 705
Huntsville, AL 35806
Phone (256) 617-3236

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": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1346855194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MILDRED WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564072",
            "telephone_number": "256-617-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 MADISON BLVD STE 705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062049",
            "telephone_number": "256-617-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "256-617-3236",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.