NPIMap

Organization Active NPI

Sage Wisdom Counseling LLC

  • Clinical Social Worker
  • Wooster, OH
National Provider Identifier
1881301471
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAGE WISDOM COUNSELING LLC
Practice address
3214 W Hutton Rd
Wooster, OH 44691-9040
Phone
(209) 628-0176
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Genaye Ladousier, LISWNPI 1851598726
Title
Owner
Phone
(209) 628-0176

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3214 W Hutton Rd
Wooster, OH 44691-9040

Mailing address

127 E Liberty St Ste 375
Wooster, OH 44691-5002
Phone (330) 800-5471

Other practice location 1

50 Alpine Dr
Merced, CA 95340-2402
Phone (209) 628-0176

National Provider Directory

National Provider Directory

Locations

50 Alpine Dr
Merced, CA 95340
Phone (209) 722-8062

127 E Liberty St
Ste 375
Wooster, OH 44691

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1881301471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E LIBERTY ST STE 375",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915002",
            "telephone_number": "330-800-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 W HUTTON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919040",
            "telephone_number": "209-628-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Alpine Dr",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953402402",
            "country_code": "US",
            "telephone_number": "209-628-0176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE WISDOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LADOUSIER",
        "authorized_official_first_name": "GENAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-628-0176",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.