Active NPI
Sage Freechild, M.A., L.M.H.C.
- Mental Health Counselor
- Shutesbury, MA
National Provider Identifier
1477850360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1944
- Practice address
- 749 Wendell Rd
Shutesbury, MA 01072-9733 - Phone
- (413) 367-2270
- NPI assigned
- Feb 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1944 | MA | Primary |
Addresses
Primary practice location
749 Wendell Rd
Shutesbury, MA 01072-9733
Mailing address
749 Wendell Rd
Shutesbury, MA 01072-9733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1944 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1477850360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 WENDELL RD",
"city": "SHUTESBURY",
"state": "MA",
"postal_code": "010729733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 WENDELL RD",
"city": "SHUTESBURY",
"state": "MA",
"postal_code": "010729733",
"telephone_number": "413-367-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREECHILD",
"first_name": "SAGE",
"name_prefix": "Ms.",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shutesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.