Sage Valley Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAGE VALLEY THERAPY LLC

Practice address

12 Arrowhead Rd
Trumbull, CT 06611

Phone

(475) 277-2602

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Mary Gohil, LPCNPI 1831893676

Title

Licensed Professional Counselor

Phone

(203) 800-5809

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Mary Gohil, LPC

  • Professional Counselor
  • Trumbull, CT
  • NPI 1831893676
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1760223184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST STE 516",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053787",
            "telephone_number": "475-277-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ARROWHEAD RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "06611",
            "telephone_number": "475-277-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE VALLEY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "GOHIL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "203-800-5809",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ruszkowski, APRN
• Michael G Saad
• Robert D Sackstein, M.D.
• Safe Harbor Christian Counseling of Connecticut, LLC
• Mahsa Safi
• Trevor J Saggese
• Molain Saintilus, M.D.
• Adil Salam, MD
• Mohamed Salama, RPH
• Gilbert M. Saltman, M.S.

• Professional Counselor in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Professional Counselor in Connecticut

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