Kimberly Jane Safranek, LAPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC010134 Issued in GA

Practice address

138 Canal St Ste 303
Pooler, GA 31322-4046

Phone

(912) 433-7829

Fax

(912) 335-6590

NPI assigned

Dec 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suns Up International, Inc

  • Mental Health Counselor
  • Pooler, GA
  • NPI 1205618121
  NPD

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1043028434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CANAL ST STE 303",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224046",
            "telephone_number": "912-433-7829",
            "fax_number": "912-335-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CANAL ST STE 303",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224046",
            "telephone_number": "912-433-7829",
            "fax_number": "912-335-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRANEK",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC010134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence E Ruf, MD
• Christine Rufolo
• RX Inc
• Emily Ann Ryan, PTA
• Rula Saadeh, RPHH
• Salem Counseling and Consulting, LLC
• Sam'S Club Optical
• Lindsay Wood Sammons, DMD
• Sams East Inc
• David L Sanders, DC

• Counselor in Pooler, GA
• Providers in Pooler, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.