Individual provider Active NPI

Sarah Katherine Clay, LPC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1578041059
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011874 Issued in GA
Practice address
2103 Bull St
Savannah, GA 31401-8530
Phone
(912) 319-5552
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011874 GA Primary

Addresses

Primary practice location

2103 Bull St
Savannah, GA 31401-8530

Mailing address

2103 Bull St
Savannah, GA 31401-8530
Phone (912) 319-5552

Other practice location 1

116 Pierce Ave
Macon, GA 31204-2891
Phone (478) 464-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC011874GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Water'S Edge Counseling CurrentSince Apr 25, 2021 Accepting new patients
Methodist Home of the South Georgia Conference Past Accepting new patients

Organizations & group practices 2

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1578041059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 BULL ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314018530",
            "telephone_number": "912-319-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 BULL ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314018530",
            "telephone_number": "912-319-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312042891",
            "country_code": "US",
            "telephone_number": "478-464-3009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "SARAH",
        "middle_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.