NPIMap

Organization Active NPI

Sage Social Services, PC

  • Professional Counselor
  • Converse, TX
National Provider Identifier
1578757910
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20064 Issued in TX
Legal business name
SAGE SOCIAL SERVICES, PC
Practice address
101 Peaceful LN
Converse, TX 78109-1007
Phone
(210) 725-3413
Fax
(210) 945-8489
NPI assigned
Aug 29, 2007
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Ms. Melanie Marie Hennis, LPC
Title
Licensed Profesional Counselor
Phone
(210) 725-3413

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X
Professional Counselor 101YP2500X 20064 TX Primary

Addresses

Primary practice location

101 Peaceful LN
Converse, TX 78109-1007

Mailing address

101 Peaceful LN
Converse, TX 78109-1007
Phone (210) 725-3413

Other identifiers 1

IdentifierTypeStateIssuer
20064OtherTXTX LIC NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Sage Social Services PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1578757910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEACEFUL LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091007",
            "telephone_number": "210-725-3413",
            "fax_number": "210-945-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEACEFUL LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091007",
            "telephone_number": "210-725-3413",
            "fax_number": "210-945-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE SOCIAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "HENNIS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESIONAL COUNSELOR",
        "authorized_official_telephone_number": "210-725-3413",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LIC NUMBER",
            "identifier": "20064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.