Individual provider Active NPI

Sarah Baucom Clanton, MA, LPC-A

  • Mental Health Counselor
  • Lancaster, SC
National Provider Identifier
1154806370
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6678 Issued in SC
Practice address
3954 Red Doc Rd
Lancaster, SC 29720-7900
Phone
(704) 475-2514
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6678 SC Primary

Addresses

Primary practice location

3954 Red Doc Rd
Lancaster, SC 29720-7900

Mailing address

3954 Red Doc Rd
Lancaster, SC 29720-7900
Phone (704) 475-2514

Other names 1

  • Sarah Elizabeth Baucom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6678SCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1154806370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 RED DOC RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207900",
            "telephone_number": "704-475-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 RED DOC RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207900",
            "telephone_number": "704-475-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANTON",
        "first_name": "SARAH",
        "middle_name": "BAUCOM",
        "credential": "MA, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BAUCOM",
            "middle_name": "ELIZABETH",
            "credential": "MA, LPC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.