Blue Sage Counseling PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BLUE SAGE COUNSELING PLLC

Practice address

1286 N Milwaukee Ave FL 2
Chicago, IL 60622-9319

Phone

(708) 374-7694

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Townsend, LCSWNPI 1902422413

Title

Owner/Manager

Phone

(708) 374-7694

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Marie Townsend, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1902422413
  NPD Authorized official
• Amy Blue, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1982321733
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1437729720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 W NEWPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344222",
            "telephone_number": "708-374-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 N MILWAUKEE AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229319",
            "telephone_number": "708-374-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SAGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "708-374-7694",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Star Dental Inc
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• Blue-Chip Medical Transportation
• Amaya Briann Blue-Farrell
• Amy Blue, LCSW

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.