Organization Active NPI

Sage Therapy Services, LLC

  • Marriage & Family Therapist
  • Tualatin, OR
National Provider Identifier
1619772290
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SAGE THERAPY SERVICES, LLC
Practice address
9390 SW Ibach CT
Tualatin, OR 97062-7073
Phone
(971) 200-5756
Fax
(971) 203-2048
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Tanujini Rosalind Carlson, M.A.NPI 1497051916
Title
Marriage and Family Therapist
Phone
(971) 235-0914

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

9390 SW Ibach CT
Tualatin, OR 97062-7073

Mailing address

9390 SW Ibach CT
Tualatin, OR 97062-7073
Phone (971) 200-5756

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1619772290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 SW IBACH CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627073",
            "telephone_number": "971-200-5756",
            "fax_number": "971-203-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 SW IBACH CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627073",
            "telephone_number": "971-200-5756",
            "fax_number": "971-203-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TANUJINI",
        "authorized_official_middle_name": "ROSALIND",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "971-235-0914",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.