Sage Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAGE WELLNESS LLC

Practice address

516 SW 13TH St Ste 201
Bend, OR 97702-3442

Phone

(541) 292-9977

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Crystal Leavitt, LPCNPI 1639745573

Title

Owner

Phone

(541) 292-9977

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Lynnette Leavitt, LPC

  • Professional Counselor
  • Bend, OR
  • NPI 1639745573
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1992421796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-292-9977",
            "fax_number": "888-461-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-292-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-292-9977",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc
• Scott Matthew Safford, PHD
• Michael Sagaert
• Sage Behavioral Counseling LLC
• Sage Health Center, L.L.C.
• Rebecca Kathryn Sahadi, PT, DPT
• Stephanie Anne Sahleen, BSW, QMHA
• Mehdi Salari, DMD
• Alyssa Marie Salava, DC
• Maria Carmen Salazar

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.