Sage Counseling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAGE COUNSELING CENTER

Practice address

160 MLK Blvd NE # 446
Winter Haven, FL 33881-2419

Phone

(256) 570-7988

NPI assigned

Nov 10, 2022

Last updated

Nov 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda KirkNPI 1568170272

Title

Founder & Therapist

Phone

(256) 570-7988

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Amanda Kirk

  • Mental Health Counselor
  • Winter Haven, FL
  • NPI 1568170272
  NPD Authorized official

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1467160176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MLK BLVD NE # 446",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MLK BLVD NE # 446",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812419",
            "telephone_number": "256-570-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FOUNDER & THERAPIST",
        "authorized_official_telephone_number": "256-570-7988"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sage@thesagecounselingcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "160 Mlk Blvd NE # 446",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338812419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Russel Hamarnah DMD PLLC (Winter Haven Dental)
• Michelle Ruthann Rutledge, COTA/L
• Kate Gwendolyn Ryals, PA-C
• Sa-PG-Winter Haven LLC (Palm Garden of Winter Haven)
• Kimberly Nicole Saenz, MA
• Sage Dental of Winter Haven PLLC
• Max Bond Saint Val
• Rebecca Marie Sajous, CNM
• Eva J Salamon, M.D.
• Marcues Reshay Sallie

• Mental Health Clinic/Center (Including Community Mental Health Center) in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.