Active NPI
Sage Counseling Associates, LLC
- Mental Health Counselor
- Kennesaw, GA
National Provider Identifier
1447649066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC007587
- Legal business name
- SAGE COUNSELING ASSOCIATES, LLC
- Practice address
- 1690 Stone Village LN NW Ste 602
Kennesaw, GA 30152-7777 - Phone
- (770) 218-9005
- NPI assigned
- Jan 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Tufford, M.A., LPC
- Title
- Ceo
- Phone
- (404) 226-5255
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007587 | GA | Primary |
Addresses
Primary practice location
1690 Stone Village LN NW Ste 602
Kennesaw, GA 30152-7777
Mailing address
1690 Stone Village LN NW Ste 602
Kennesaw, GA 30152-7777
Phone (770) 954-8127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427326057 | Other | GA | PERSONAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1690 Stone Village Ln NW
Ste 602
Kennesaw, GA 30152
Phone (404) 482-2283
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Kennesaw, GA
- NPI 1427326057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1447649066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 STONE VILLAGE LN NW STE 602",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527777",
"telephone_number": "770-954-8127",
"fax_number": "844-289-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 STONE VILLAGE LN NW STE 602",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527777",
"telephone_number": "770-218-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE COUNSELING ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-20",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "TUFFORD",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-226-5255",
"authorized_official_credential": "M.A., LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1427326057",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.