Organization Active NPI

The Oasis Sanctuary LLC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1083519557
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE OASIS SANCTUARY LLC
Practice address
4605 Roan Run
Cumming, GA 30040-1454
Phone
(678) 857-2708
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Dr. Jesaira Leshonda Glover, LPC
Title
Founder/LPC
Phone
(678) 857-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4605 Roan Run
Cumming, GA 30040-1454

Mailing address

4605 Roan Run
Cumming, GA 30040-1454
Phone (678) 857-2708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1083519557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 ROAN RUN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401454",
            "telephone_number": "678-857-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 ROAN RUN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401454",
            "telephone_number": "678-857-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OASIS SANCTUARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JESAIRA",
        "authorized_official_middle_name": "LESHONDA",
        "authorized_official_title_or_position": "FOUNDER/LPC",
        "authorized_official_telephone_number": "678-857-2708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.