Sage Counseling and Hypnotherapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAGE COUNSELING AND HYPNOTHERAPY, LLC

Practice address

651 N Eagle Rd
Eagle, ID 83616-5007

Phone

(208) 477-8351

NPI assigned

Apr 2, 2018

Last updated

Apr 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Bynum, LPCNPI 1619323649

Title

Owner

Phone

(208) 477-8351

Specialties & licenses 1

Addresses

Locations

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.

• Joshua Bynum, M.S.

  • Professional Counselor
  • Eagle, ID
  • NPI 1619323649
  NPD (past) Authorized official

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1922504638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 N EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165004",
            "telephone_number": "208-477-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165007",
            "telephone_number": "208-477-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE COUNSELING AND HYPNOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-477-8351",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Rose
• Patrick Dale Ruch, COTA/L
• Anna Renee Rule, M.S.
• Kylie J Rush
• Ryan D. Huber, O.D., P.a. (Six One Six Vision Center)
• Saint Alphonsus Physician Services Inc (Saint Alphonsus Medical Group Eagle Health Plaza)
• Saint Alphonsus Regional Medical Center Inc (Saint Alphonsus Rehabilitation Services)
• Saint Alphonsus Rehabilitation Services
• Baylee Louise Sanderson, LMSW
• Ashley P Sara, DMD

• Professional Counselor in Eagle, ID
• Providers in Eagle, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.