NPIMap

Organization Active NPI

Oasis Counseling Center, LLC

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1194063198
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OASIS COUNSELING CENTER, LLC
Practice address
1720 Lexington Rd Ste a
Athens, GA 30605-2330
Phone
(706) 543-3522
Fax
(706) 543-3523
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Stacy Daniel SampsonNPI 1104190230
Title
Owner
Phone
(706) 543-3522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1720 Lexington Rd Ste a
Athens, GA 30605-2330

Mailing address

1720 Lexington Rd Ste a
Athens, GA 30605-2330
Phone (706) 543-3522

Other identifiers 2

IdentifierTypeStateIssuer
003348552AMedicaidGA
003129600AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206001045 GA Part B Supplier - Clinic/Group Practice 4981021482 Receives reassigned benefits from 2 practitioners
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

1720 Lexington Rd
#A
Athens, GA 30605
Phone (706) 543-3522

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1194063198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LEXINGTON RD STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052330",
            "telephone_number": "706-543-3522",
            "fax_number": "706-543-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LEXINGTON RD STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052330",
            "telephone_number": "706-543-3522",
            "fax_number": "706-543-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-543-3522"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003348552A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129600A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.