Active NPI
Sujong Chang, MS, LPC
- Professional Counselor
- Lagrange, GA
National Provider Identifier
1437797453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013606
- Practice address
- 205 N Lewis St Ste a
Lagrange, GA 30240-2752 - Phone
- (706) 881-3441
- Fax
- (706) 881-3441
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC013606 | GA | |
| Professional Counselor | 101YP2500X | LPC013606 | GA | Primary |
Addresses
Primary practice location
205 N Lewis St Ste a
Lagrange, GA 30240-2752
Mailing address
205 N Lewis St Ste a
Lagrange, GA 30240-2752
Phone (706) 881-3441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013606 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Wellness Center LLC | Mental Health | Current | Accepting new patients |
Locations
314 Greenville St
Lagrange, GA 30241
Phone (706) 881-3441
205 N Lewis St
Ste 1
Lagrange, GA 30240
205 N Lewis St
Ste A
Lagrange, GA 30240
Phone (706) 881-3441
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1437797453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N LEWIS ST STE A",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302402752",
"telephone_number": "706-881-3441",
"fax_number": "706-881-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N LEWIS ST STE A",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302402752",
"telephone_number": "706-881-3441",
"fax_number": "706-881-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SUJONG",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC013606",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.