Active NPI
Sara Sharnoff Tick, LMFT
- Marriage & Family Therapist
- Mount Pleasant, SC
National Provider Identifier
1629398136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045 - Phone
- (843) 800-1303
- Fax
- (888) 316-7716
- NPI assigned
- Jun 7, 2010
- 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 | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045
Mailing address
13 Temple St
Quincy, MA 02169-5110
Phone (617) 471-8400
Other practice location 1
13 Temple St
Quincy, MA 02169-5110
Phone (617) 471-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4644 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetgrass Psychiatry LLC | Mental Health | Current | Accepting new patients |
Locations
710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303
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": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1629398136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 TEMPLE ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695110",
"telephone_number": "617-471-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JOHNNIE DODDS BLVD STE 200",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643045",
"telephone_number": "843-800-1303",
"fax_number": "888-316-7716"
}
],
"practiceLocations": [
{
"address_1": "13 Temple St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021695110",
"country_code": "US",
"telephone_number": "617-471-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TICK",
"first_name": "SARA",
"middle_name": "SHARNOFF",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2024-10-08",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.