Active NPI
Kristin Sage, LPC
- Professional Counselor
- North Chesterfield, VA
National Provider Identifier
1770944225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701006527
- Practice address
- 723 Twinridge LN
North Chesterfield, VA 23235-5270 - Phone
- (804) 207-3201
- Fax
- (804) 223-3075
- NPI assigned
- Mar 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006527 | VA | Primary |
Addresses
Primary practice location
723 Twinridge LN
North Chesterfield, VA 23235-5270
Mailing address
723 Twinridge LN
North Chesterfield, VA 23235-5270
Phone (804) 207-3201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659424448 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006527 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Counseling and Consulting | Current | Accepting new patients |
Locations
13354 Midlothian Tpke
Ste 200
Midlothian, VA 23113
Phone (804) 251-1629
723 Twinridge Ln
North Chesterfield, VA 23235
Phone (540) 208-3188
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Chesterfield, VA
- NPI 1174179337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1770944225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 TWINRIDGE LN",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232355270",
"telephone_number": "804-207-3201",
"fax_number": "804-223-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 TWINRIDGE LN",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232355270",
"telephone_number": "804-207-3201",
"fax_number": "804-223-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "KRISTIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659424448",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.