Organization Active NPI

Solace & Sage Counseling & Consulting Services, LLC.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1700708914
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOLACE & SAGE COUNSELING & CONSULTING SERVICES, LLC.
Practice address
3564 Avalon Park Blvd E Ste 1-A949
Orlando, FL 32828-7365
Phone
(407) 205-4397
NPI assigned
Jul 28, 2026
Last updated
Oct 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Authorized official

Name
Mr. Jawan Angel Dickerson-Escobar, LMHC, LPC, LCMHCNPI 1366109936
Title
Owner/Clinical Therapist
Phone
(407) 205-4397

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3564 Avalon Park Blvd E Ste 1-A949
Orlando, FL 32828-7365

Mailing address

3564 Avalon Park Blvd E Ste 1-A949
Orlando, FL 32828-7365
Phone (407) 205-4397

Other practice location 1

1726 Gold Hill Rd Unit 583
Fort Mill, SC 29708-6990
Phone (407) 205-4397

Other practice location 2

1235 East Blvd Ste E-475
Charlotte, NC 28203-5870
Phone (407) 205-4397

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791072000000",
    "number": "1700708914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 AVALON PARK BLVD E STE 1-A949",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287365",
            "telephone_number": "407-205-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 AVALON PARK BLVD E STE 1-A949",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287365",
            "telephone_number": "407-205-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 Gold Hill Rd Unit 583",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086990",
            "country_code": "US",
            "telephone_number": "407-205-4397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 East Blvd Ste E-475",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035870",
            "country_code": "US",
            "telephone_number": "407-205-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLACE & SAGE COUNSELING & CONSULTING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A",
        "authorized_official_last_name": "DICKERSON-ESCOBAR",
        "authorized_official_first_name": "JAWAN",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "407-205-4397",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, LPC, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.