William Stephen Sabom, S.T.D., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 002055 Issued in GA

Practice address

209 Swanton Way Ste a
Decatur, GA 30030-3274

Phone

(404) 422-0312

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1083771356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 SANDEN FERRY DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333343",
            "telephone_number": "770-417-2752",
            "fax_number": "770-446-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SWANTON WAY STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303274",
            "telephone_number": "404-422-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOM",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "S.T.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC 002055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASTORAL INSTITUTE, INC.",
            "identifier": "1477605707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danelle Ryder, CNA
• Samantha Ann Ryder, DC
• Mark Hosam Saad-Naguib, MD
• Janeah Saadeh, DC
• Susan A Sabatino, M.D.
• Alicia Sacal Saba
• Rajesh Sachdeva, MD
• Ally Sachs, MS/EDS,NCC
• Sadie Transport Services
• Adil Sadiq, M.D.

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.