NPIMap

Organization Active NPI

Sage Circle Counseling Center

  • Community/Behavioral Health Agency
  • St George, UT
National Provider Identifier
1932571015
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7027534-3501 Issued in UT
Legal business name
SAGE CIRCLE COUNSELING CENTER
Practice address
225 N Bluff St
Suite #5
Saint George, UT 84770-4566
Phone
(435) 229-9177
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Gwen Marie Hurd, LCSWNPI 1669532982
Title
Ower
Phone
(435) 229-9177

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
Community/Behavioral Health Agency 251S00000X 7027534-3501 UT Primary

Addresses

Primary practice location

225 N Bluff St
Suite #5
Saint George, UT 84770-4566

Mailing address

225 N Bluff St
Suite #5
Saint George, UT 84770-4566
Phone (435) 229-9177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220331000668 UT Part B Supplier - Clinic/Group Practice 4486040425 Receives reassigned benefits from 3 practitioners
Practice locations: Saint George, UT

National Provider Directory

National Provider Directory

Locations

225 N Bluff St
Ste 5
St George, UT 84770
Phone (435) 229-5240

Practitioners & affiliated clinicians

Practitioners 5

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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1932571015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N BLUFF ST",
            "address_2": "SUITE #5",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704566",
            "telephone_number": "435-229-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BLUFF ST",
            "address_2": "SUITE #5",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704566",
            "telephone_number": "435-229-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CIRCLE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "435-229-9177",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "7027534-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.