Cherisse R Gage, MA, LPCC, LMFT
Individual provider Active NPI Psychoanalyst · Prunedale, CA
NPI 1689896342 · NPPES record last updated Mar 30, 2025
Key facts
- NPI
- 1689896342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- License
- LPC2365 (CA)
- Practice address
- 17782 Moro Rd
Prunedale, CA 93907-8961 - Phone
- (408) 763-9546
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11313 | FL | MD | Mental Health Counselor |
| LPC2365 | CA | MD | Psychoanalyst |
| 107059 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breathe Again Therapy, LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11313 | FL | |
| Marriage & Family Therapist | 106H00000X | 107059 | CA | |
| Psychoanalyst | 102L00000X | LPC2365 | CA | Yes |
Addresses
Primary practice location
17782 Moro Rd
Prunedale, CA 93907-8961
Mailing address
1522 Constitution Blvd
#391
Salinas, CA 93905-3803
Phone (408) 763-9546
Other providers in Prunedale, CA
- Breathe Again Therapy, LLC
- Suzanne Cobb-Jarschke
- County of Monterey
- Bridget Monica Eastman
- Cheryl Diane Fernandez
- Mark Duane Hansen
- Alim Alusine Ibrahim
- Alexander Albert Jaque
- Lucas Jared Johnson
- Mark Juarez
All providers in Prunedale, CA · Psychoanalyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.