JENNIFER KRISTIN SAGE
Counselor (Mental Health)

Address: 3878 1/2 Riviera Dr, San Diego, CA 92109-6313

JENNIFER KRISTIN SAGE (NPI# 1508456542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508456542
Entity Type Individual
Full Name JENNIFER KRISTIN SAGE
Gender Female
Credential LMFT
Practice Address 3878 1/2 Riviera Dr
San Diego
CA 92109-6313
Practice Telephone 8586635424
Mailing Address 3878 1/2 Riviera Dr
San Diego
CA 92109-6313
Mailing Telephone 8586635424
Certification Date 2021-01-23
Enumeration Date 2021-01-23
Last Update Date 2021-01-23
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
116173 CA Behavioral Health & Social Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL SANDIEGO 3878 1/2 Riviera Dr, San Diego, CA 921096313

Office Location

Street Address 3878 1/2 RIVIERA DR
City SAN DIEGO
State CA
Zip Code 92109-6313

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1669906178 Kelley Ann Riley Prevention Professional 4328 Gresham St, San Diego, CA 92109 2017-04-12
1689113524 Tyler Marquis Pharmacist 2636 Grand Avenue Apartment 326, San Diego, CA 92109 2017-02-13
1912372574 Lonnie Butler Doula 841 Turquoise Street, F-405, San Diego, CA 92109 2015-12-08
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1417388562 Pacific Rim Pathology Medical Corporation Clinical Medical Laboratory 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 2013-11-27
1023379997 Eric Berquist Student in an Organized Health Care Education/Training Program 2009 Reed Ave, San Diego, CA 92109 2012-06-06
1982996724 Miramar Health Physicians Group · Brain Center Tms Acupuncturist 1321 Garnet Avenue, San Diego, CA 92109 2011-05-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649869603 Hossein Samadi Md PC 550 W. B. St. 4th Floor, San Diego, CA 92101 2021-01-14
1164028932 Sarah Laws · Sarah Carroll 5183 Walsh Way, San Diego, CA 92115-1148 2020-12-08
1164028007 Miyoung Son Marriage Family Therapy 3660 Ruffin Rd Ste C, San Diego, CA 92123-1877 2020-12-07
1710580279 Concert Health Medical Group 500 W. B. St. 4th Floor, San Diego, CA 92101 2020-11-18
1497357420 Monika Lashelle Bass 7653 Shadyglade Ln, San Diego, CA 92114-7224 2020-11-13
1396346359 Christina L Thomas 4611 Alamo Dr, San Diego, CA 92115-5907 2020-11-05
1639779101 Paula Perez 5882 Adobe Falls Rd, San Diego, CA 92120-4600 2020-10-26
1558974378 Monica Dixon 4930 Naples St Fl 1, San Diego, CA 92110-3820 2020-08-31
1952911612 Shannon Kathleen Nolte 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 2020-08-06
1033728498 Hala Kadhem 1664 Broadway, El Cajon, San Diego, CA 92021 2020-07-30
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Competitor

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City SAN DIEGO
Zip Code 92109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.