Organization Active NPI

Laura Vail Sage Inc

  • Clinical Social Worker
  • Mason, OH
National Provider Identifier
1699758250
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0005442 Issued in OH
Legal business name
LAURA VAIL SAGE INC
Doing business as
Mason Family Counseling
Practice address
5134 Cedar Village Dr
Mason, OH 45040-3717
Phone
(513) 229-7900
Fax
(513) 229-0202
NPI assigned
Nov 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Laura Vail Sage, LISW
Title
President
Phone
(513) 229-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 944032 OH
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I 0005442 OH Primary

Addresses

Primary practice location

5134 Cedar Village Dr
Mason, OH 45040-3717

Mailing address

5134 Cedar Village Dr
Mason, OH 45040-3717
Phone (513) 229-7900

Other names 1

  • Mason Family Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1699758250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900",
            "fax_number": "513-229-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900",
            "fax_number": "513-229-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA VAIL SAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "VAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-229-7900",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "944032",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.