Individual provider Active NPI

Eryn Sage Crescent, MA

  • Mental Health Counselor
  • Augusta, GA
National Provider Identifier
1881430882
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4812 Technology Dr
Augusta, GA 30907-3911
Phone
(706) 691-2921
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X GA Primary

Addresses

Primary practice location

4812 Technology Dr
Augusta, GA 30907-3911

Mailing address

4812 Technology Dr
Augusta, GA 30907-3911
Phone (706) 691-2921

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
E.S. Crescent Counseling LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1881430882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 TECHNOLOGY DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073911",
            "telephone_number": "706-691-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 TECHNOLOGY DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073911",
            "telephone_number": "706-691-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCENT",
        "first_name": "ERYN",
        "middle_name": "SAGE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.