SANE SPACE
NPI 1164118642
Psychologist in Parkersburg, WV

Active since April 17, 2023
4421 EMERSON AVE STE 204, PARKERSBURG, WV 26104(304) 220-0441(304) 220-0112 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2025, Dec 17, 2024, Oct 19, 2023 and 2 more (5 updates tracked since 2023).

About Sane Space NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANE SPACE (NPI 1164118642) is a healthcare organization registered as a psychologist in Parkersburg, West Virginia and active in the NPI registry since April 2023. The organization lists Christina Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164118642
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSANE SPACE PLLC
Location Address4421 EMERSON AVE STE 204Parkersburg, WV 26104-1200
Mailing Address4421 Emerson Ave Ste 204Parkersburg, WV 26104-1200 · (304) 220-0441 · Fax (304) 220-0112
Fax(304) 220-0112
Organization SubpartNo
Authorized OfficialChristina JacksonOwner · (304) 220-0041
Enumeration DateApril 17, 2023
Last NPPES UpdateJanuary 8, 20255 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1164118642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
4421 EMERSON AVE STE 204, Parkersburg, WV 26104

Other Names 2

Doing Business AsSane Space
Former Legal Business NameSane Space Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sane Space is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Sane Space, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1245874320
4421 EMERSON AVE STE 204
Parkersburg, WV 26104
(304) 220-0112
✔ PECOS✔ Accepts MedicareSame address
Psychologist Billing Independently
NPI 1083825897
4420 ROSEMAR CTR STE 201C
Parkersburg, WV 26104
(304) 220-0041
✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1740622083
3705 EMERSON AVE
Parkersburg, WV 26104
(304) 917-3530
✔ PECOS✔ Accepts Medicare0.5 mi
Mental Health Counselor
NPI 1568942894
2610 CAMDEN AVE
Parkersburg, WV 26101
(304) 917-3733
✔ PECOS✔ Accepts Medicare3.0 mi
Clinical Social Worker
NPI 1770722852
207D COLEGATE DR
Marietta, OH 45750
(740) 376-0930
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sane Space PLLC's NPI number?

The NPI number for Sane Space PLLC is 1164118642. It was assigned to this organization in the NPPES registry on April 17, 2023. The provider is doing business as Sane Space. The provider was formerly known as Sane Space LLC.

Where is Sane Space PLLC located?

Sane Space PLLC is located at 4421 Emerson Ave Ste 204, Parkersburg, WV 26104. The listed phone number is (304) 220-0441.

What is Sane Space PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sane Space PLLC enrolled in Medicare?

Yes. Sane Space PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sane Space PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Sane Space PLLC, in Clinical Social Worker, Mental Health Counselor and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sane Space PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Sane Space PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sane Space PLLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.