Active NPI
Sage Counseling
- Adult Mental Health Clinic/Center
- Joliet, IL
National Provider Identifier
1891459525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SAGE COUNSELING
- Practice address
- 210 N Hammes Ave
Joliet, IL 60435-6680 - Phone
- (630) 649-9087
- NPI assigned
- Oct 28, 2021
- Last updated
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Clare Carlson, LCPC
- Title
- Mental Health Therapist
- Phone
- (630) 649-9087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
210 N Hammes Ave
Joliet, IL 60435-6680
Mailing address
210 N Hammes Ave
Joliet, IL 60435-6680
Phone (630) 649-9087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180.009476 | Other | IL | IDPFR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | GMAIL.COM |
National Provider Directory
National Provider DirectoryLocations
210 N Hammes Ave
Joliet, IL 60435
Phone (815) 725-6511
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.
-
- Counselor
- Hinsdale, IL
- NPI 1982136065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1891459525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N HAMMES AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356680",
"telephone_number": "630-649-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N HAMMES AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356680",
"telephone_number": "630-649-9087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "MARY CLARE",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "630-649-9087",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDPFR",
"identifier": "180.009476",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "GMAIL.COM",
"affiliation": "N",
"address_1": "210 N Hammes Ave",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604356680",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joliet, IL
- RZ Consulting, LLC
- Sabah Akbar OD LTD (Lumenis Eye Care & Wellness)
- Claude Sadovsky, MD
- Abdul R Safadi, M.D.
- Sadaf Safavinejad, DDS
- Sage Rehabilitation Inc
- Jillian Sage, BCBA
- Saint Joseph Medical Center - Joliet LLC (Saint Joseph Medical Center)
- Saint Joseph Medical Center - Joliet LLC (Saint Joseph Medical Center)
- Saint Joseph Medical Center - Joliet LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.