Sage House Art Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAGE HOUSE ART THERAPY, PLLC

Practice address

11250 Roger Bacon Dr BLDG 10
Reston, VA 20190-5219

Phone

(703) 483-9442

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Tedeschi, ATR-BC, LPC

Title

Clinical Director

Phone

(703) 483-9442

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Sage House Art Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sage House Art Therapy, PLLC

  • Professional Counselor
  • Reston, VA
  • NPI 1467071142
  NPD tax ID

Locations

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1346878592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR BLDG 10",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-483-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR BLDG 10",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-483-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HOUSE ART THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "TEDESCHI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-483-9442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATR-BC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COUNSELING",
            "identifier": "0701007801",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheraNest",
            "affiliation": "N",
            "address_1": "11250 Roger Bacon Dr Bldg 10",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ilonka Sabic-Lukic, L.P.C.
• Brett Allen Sachse, MD
• Kathleen T Sachse, M.D.
• Rebecca Sadler
• Lucia Sadowski, OTD, OTR/L
• Sage House Art Therapy, PLLC
• Jill Bekezela Sagonda-Guerrero, MD, MPH
• Avisesh Sahgal, MD
• Sai Healthcare Inc
• Candace Ann Saint, LCSW

• Professional Counselor in Reston, VA
• Providers in Reston, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.