Individual provider Active NPI

Sara Sharnoff Tick, LMFT

  • Marriage & Family Therapist
  • Mount Pleasant, SC
National Provider Identifier
1629398136
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205002445 SC Practitioner - Marriage and Family Therapist 1658807227 Reassigns benefits to 1 organization

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
Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

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

LicenseStateTypeSpecialty
4644SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Psychiatry LLC Mental Health CurrentSince Oct 1, 2024 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

Verify at the official NPI Registry.