Individual provider Active NPI

Ecclesia Savage, PHD

  • Counseling Psychologist
  • Stockbridge, GA
National Provider Identifier
1356814727
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY004887 Issued in GA
Practice address
829 Fairways CT Ste 210
Stockbridge, GA 30281-7219
Phone
(678) 242-9520
NPI assigned
Jan 8, 2019
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC010467 GA
Mental Health Counselor 101YM0800X LPC010467 GA
Counseling Psychologist 103TC1900X PSY004887 GA Primary

Addresses

Primary practice location

829 Fairways CT Ste 210
Stockbridge, GA 30281-7219

Mailing address

829 Fairways CT Ste 210
Stockbridge, GA 30281-7219
Phone (678) 242-9520

Other practice location 1

798 Deerwood Dr
Stockbridge, GA 30281-7364
Phone (678) 481-9702

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260209000039 GA Practitioner - Clinical Psychologist 9234618554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4760 Austell Rd
Suite 5
Austell, GA 30106-2007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC010467GAMDCounselor
PSY004887GAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Resilient Minds Collective LLC Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Our Souls 2 Keep Inc. Mental Health Current Accepting new patients
Anchored Counseling Counselor CurrentSince Jan 19, 2020 Accepting new patients

Locations

4760 Austell Rd
Ste 5
Austell, GA 30106
Phone (404) 595-8722

829 Fairways Ct
Ste 210
Stockbridge, GA 30281
Phone (678) 242-9520

Interoperability endpoints

  • Direct secure messaging: ecclesiasavage@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1356814727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 FAIRWAYS CT STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817219",
            "telephone_number": "678-242-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FAIRWAYS CT STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817219",
            "telephone_number": "678-242-9520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "798 Deerwood Dr",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817364",
            "country_code": "US",
            "telephone_number": "678-481-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "ECCLESIA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC010467",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010467",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY004887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.