Organization Active NPI

Sage Mental Health Center

  • Professional Counselor
  • Encino, CA
National Provider Identifier
1952108714
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SAGE MENTAL HEALTH CENTER
Practice address
16200 Ventura Blvd # 323W
Encino, CA 91436-2205
Phone
(747) 296-1883
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Kristine ChermakyanNPI 1669141933
Title
Owner
Phone
(323) 217-4517

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

16200 Ventura Blvd # 323W
Encino, CA 91436-2205

Mailing address

16200 Ventura Blvd # 323W
Encino, CA 91436-2205

Other practice location 1

16200 Ventura Blvd # 323W
Encino, CA 91436-2205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114003358 CA Part B Supplier - Clinic/Group Practice 2860983020 Receives reassigned benefits from 2 practitioners
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

16200 Ventura Blvd
#323W
Encino, CA 91436
Phone (747) 296-1883

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1952108714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD # 323W",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD # 323W",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362205",
            "telephone_number": "747-296-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16200 Ventura Blvd # 323W",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362205",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "CHERMAKYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-217-4517"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.