Organization Active NPI

Sage Therapy LLC

  • Mental Health Counselor
  • Merritt Island, FL
National Provider Identifier
1659028702
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGE THERAPY LLC
Practice address
1336 High CT
Merritt Island, FL 32952-5533
Phone
(386) 214-0297
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Deana Duckenfield, LMHC, LPC, MCAPNPI 1316297336
Title
Owner
Phone
(386) 214-0297

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1336 High CT
Merritt Island, FL 32952-5533

Mailing address

1336 High CT
Merritt Island, FL 32952-5533
Phone (386) 214-0297

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": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1659028702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 HIGH CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525533",
            "telephone_number": "386-214-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HIGH CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525533",
            "telephone_number": "386-214-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "DUCKENFIELD",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-214-0297",
        "authorized_official_credential": "LMHC, LPC, MCAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.