Blue Sage Wellness, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE SAGE WELLNESS, INC

Doing business as

Katie Larcher Therapy
Katie Larcher, Inc.

Practice address

1701 E Lake Ave Ste 245
Glenview, IL 60025-2065

Phone

(773) 234-5366

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Lori Kathleen Larcher, LCSWNPI 1023785946

Title

Owner

Phone

(847) 532-9633

Specialties & licenses 1

Addresses

Other names 2

• Katie Larcher Therapy Doing business as
• Katie Larcher, Inc. Doing business as

Locations

Practitioners 1

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

• Lori Kathleen Larcher, LCSW

  • Clinical Social Worker
  • Glenview, IL
  • NPI 1023785946
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1689437626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 245",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252065",
            "telephone_number": "847-532-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 245",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252065",
            "telephone_number": "773-234-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SAGE WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "LARCHER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-532-9633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katie Larcher Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Katie Larcher, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baylee Kay Bleikamp, OTR/L
• Eric N. Bloom, D.D.S.
• Robert W Bloom, M.D.
• Ronald A Bloom, MD
• Zachary D. Bloom, PH.D.
• Andrea Lynn Blume, COTA L
• Dawn Blundell, PTA/L
• Kevin Dale Boatwright, MD
• Laina Bobrov
• Elizabeth Bodner, MS, BCBA

• Clinical Social Worker in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.