Organization Active NPI

Sage Counseling & Consulting Group PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1730967845
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGE COUNSELING & CONSULTING GROUP PLLC
Practice address
1263 Arrow Pine Dr Ste C105
Charlotte, NC 28273-5571
Phone
(980) 500-9342
Fax
(888) 885-3640
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Jarred Hayes, LCMHCNPI 1154935740
Title
Owner/Therapist
Phone
(980) 500-9342

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

1263 Arrow Pine Dr Ste C105
Charlotte, NC 28273-5571

Mailing address

PO Box 241981
Charlotte, NC 28224-1981
Phone (980) 500-9342

National Provider Directory

National Provider Directory

Locations

1263 Arrow Pine Dr
Ste C105
Charlotte, NC 28273
Phone (980) 500-9342

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": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1730967845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241981",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282241981",
            "telephone_number": "980-500-9342",
            "fax_number": "888-885-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 ARROW PINE DR STE C105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735571",
            "telephone_number": "980-500-9342",
            "fax_number": "888-885-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE COUNSELING & CONSULTING GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JARRED",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "980-500-9342",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.