SAGE MIND THERAPY
NPI 1235990508
Social Worker in Lowville, NY
About Sage Mind Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAGE MIND THERAPY (NPI 1235990508) is a healthcare organization registered as a social worker in Lowville, New York and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Beaver Falls and lists Bianca Boucher, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sage Mind Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sage Mind Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bianca Boucher Lcsw PLLC's NPI number?
The NPI number for Bianca Boucher Lcsw PLLC is 1235990508. It was assigned to this organization in the NPPES registry on January 23, 2024. The provider is doing business as Sage Mind Therapy.
Where is Bianca Boucher Lcsw PLLC located?
Bianca Boucher Lcsw PLLC is located at 6006 Number Four Rd, Lowville, NY 13367. The listed phone number is (315) 220-9525.
What is Bianca Boucher Lcsw PLLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Bianca Boucher Lcsw PLLC enrolled in Medicare?
Yes. Bianca Boucher Lcsw PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bianca Boucher Lcsw PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bianca Boucher Lcsw PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bianca Boucher Lcsw PLLC was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Sage Mind Therapy · NPI 1235990508
Social Worker organization in Lowville, New York. Organization record, active in the CMS NPPES registry since January 23, 2024.
## Identity
- **NPI:** 1235990508 (Entity type: Organization)
- **Enumerated:** January 23, 2024
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Legal business name:** Bianca Boucher Lcsw Pllc
- **Organization subpart:** No
- **Authorized official:** Bianca Boucher, SOLE MEMBER
## Practice location
- **Address:** 6006 NUMBER FOUR RD, Lowville, NY 13367-3309
- **Phone:** (315) 220-9525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235990508) · Data from the CMS NPPES public registry.