Organization Active NPI

Sage Mental Health PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Johnsbury, VT
National Provider Identifier
1689431751
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAGE MENTAL HEALTH PLC
Practice address
1097 Main St
Saint Johnsbury, VT 05819-2646
Phone
(802) 255-8788
Fax
(802) 200-0493
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Crystal Leboeuf, PMHNPNPI 1033645726
Title
Owner
Phone
(802) 535-2176

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1097 Main St
Saint Johnsbury, VT 05819-2646

Mailing address

PO Box 65
St Johnsbury, VT 05819-0065
Phone (802) 255-8788

Other practice location 1

33 Oak St
Newport, VT 05855-5329
Phone (802) 473-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912003231 VT Part B Supplier - Clinic/Group Practice 8921548272 Receives reassigned benefits from 3 practitioners
Practice locations: St Johnsbury, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2300865Sage Mental Health PLC1097 Main St, Saint Johnsbury, VT 05819Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Locations

374 Emerson Falls Rd
Ste 2
St Johnsbury, VT 05819

Practitioners & affiliated clinicians

Practitioners 3

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1689431751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190065",
            "telephone_number": "802-255-8788",
            "fax_number": "802-200-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 MAIN ST",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192646",
            "telephone_number": "802-255-8788",
            "fax_number": "802-200-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Oak St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "058555329",
            "country_code": "US",
            "telephone_number": "802-473-1213",
            "fax_number": "802-200-0493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE MENTAL HEALTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "LEBOEUF",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-535-2176",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.