NPIMap

Organization Active NPI

Sage Counseling and Wellness LLC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1679292734
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGE COUNSELING AND WELLNESS LLC
Practice address
5308 Eton CT
Cumming, GA 30040-1771
Phone
(404) 403-1622
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Rachel Butler DorneanuNPI 1629729546
Title
Owner and Clinical Director
Phone
(404) 403-1622

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

5308 Eton CT
Cumming, GA 30040-1771

Mailing address

5308 Eton CT
Cumming, GA 30040-1771
Phone (404) 403-1622

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1679292734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 ETON CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401771",
            "telephone_number": "404-403-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 ETON CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401771",
            "telephone_number": "404-403-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "DORNEANU",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "OWNER AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-403-1622"
    },
    "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 Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.