NPIMap

Organization Active NPI

Sage Behavioral Counseling LLC

  • Community/Behavioral Health Agency
  • Bend, OR
National Provider Identifier
1992093421
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
77670496 Issued in OR
Legal business name
SAGE BEHAVIORAL COUNSELING LLC
Practice address
25 NW Park PL
Bend, OR 97701-2954
Phone
(541) 280-1570
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Laurie Wilmot, LCSWNPI 1982837290
Title
Licensed Therapist
Phone
(541) 280-1570

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 77670496 OR Primary

Addresses

Primary practice location

25 NW Park PL
Bend, OR 97701-2954

Mailing address

1225 NW Jacksonville Ave
Bend, OR 97701-2228
Phone (541) 280-1570

National Provider Directory

National Provider Directory

Locations

25 NW Park Pl
Bend, OR 97703
Phone (541) 388-9271

Practitioners & affiliated clinicians

Practitioners 1

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1992093421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NW JACKSONVILLE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012228",
            "telephone_number": "541-280-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NW PARK PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012954",
            "telephone_number": "541-280-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE BEHAVIORAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "541-280-1570",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "77670496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.