Individual provider Active NPI

Jason Clark Lage, BCTMB

  • Reflexologist
  • Saint Cloud, MN
National Provider Identifier
1679435028
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
HMGT24-0060 Issued in MN
Practice address
2700 1St St N Ste 101
Saint Cloud, MN 56303-4202
Phone
(605) 786-5327
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X HMGT24-0060 MN
Reflexologist 173C00000X HMGT24-0060 MN Primary

Addresses

Primary practice location

2700 1St St N Ste 101
Saint Cloud, MN 56303-4202

Mailing address

10720 W Lake Rd
Rice, MN 56367-8668
Phone (605) 786-5327

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

State licenses

LicenseStateTypeSpecialty
HMGT24-0060MNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1679435028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 W LAKE RD",
            "city": "RICE",
            "state": "MN",
            "postal_code": "563678668",
            "telephone_number": "605-786-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034202",
            "telephone_number": "605-786-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGE",
        "first_name": "JASON",
        "middle_name": "CLARK",
        "credential": "BCTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "HMGT24-0060",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "MN",
            "license": "HMGT24-0060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.