Sadie Katherine Marshall

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3345 Issued in MS

Practice address

1488 Hwy 487 East
Sebastopol, MS 39359

Phone

(601) 625-7403

Fax

(601) 625-7404

NPI assigned

Jul 17, 2023

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Mississippi Health Care Inc 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
• Direct secure messaging: sadie.marshall.1@17349.direct.athenahealth.com

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.

• East Central Mississippi Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Walnut Grove, MS
  • NPI 1255387619

  MS

  Medicare reassignment Care Compare group NPD
• East Central Mississippi Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newton, MS
  • NPI 1184090482
  Care Compare group NPD
• East Central Mississippi Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, MS
  • NPI 1699721209
  Care Compare group NPD (past)
• East Central Mississippi Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, MS
  • NPI 1679529028
  Care Compare group

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1093494015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "393590150",
            "telephone_number": "601-625-7403",
            "fax_number": "601-625-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 HWY 487 EAST",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-625-7403",
            "fax_number": "601-625-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9431 Eastside Drive Ext Ste E",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MS",
            "postal_code": "393458072",
            "country_code": "US",
            "telephone_number": "601-635-3435",
            "fax_number": "601-635-3438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SADIE",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Graham, M.D.
• Telitha K Grant-Spencer, MD
• Hometown Health and Wellness, PLLC
• Independent Healthcare Management, Inc.
• Aser M Kandil, MD
• Benita Joetta Myles, MD
• Gaydon Nowell, M.S.N PMHNP-BC
• Candace Tierra Pearson, APRN, FNP-C
• Kayti A Powell, CPNP
• Karen Reece, FNP

• All providers in Sebastopol, MS
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.