Crystal Jeanne Sage, MA, LMHC
Counselor, Mental Health in Cocoa Beach, FL. Individual provider (NPI-1).
NPI number1053825331
StatusActive
Last updated in NPPESJan 18, 2026
Details
- NPI
- 1053825331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Crystal Jeanne Sage
- Credential
- MA, LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2017
- Certification date
- Jan 18, 2026
- Last updated
- Jan 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1980 N Atlantic Ave Ste 813Cocoa Beach, FL 32931-3276
Phone 863-866-7065 · Fax 352-309-0769
Mailing address
125 Florida BlvdMerritt Island, FL 32953-3010
Phone 863-866-7065 · Fax 352-309-0769
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Mental Health Counselor providers in Cocoa Beach · All 372 providers in Cocoa Beach
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