Individual provider Active NPI

Sierra Magnolia Sumrall, LAPC, ALC

  • Professional Counselor
  • Snellville, GA
National Provider Identifier
1669124343
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05448 Issued in AL
Practice address
2336 Wisteria Dr Ste 440
Snellville, GA 30078-6160
Phone
(770) 733-1469
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC05448 AL Primary
Counselor 101Y00000X APC008018 GA

Addresses

Primary practice location

2336 Wisteria Dr Ste 440
Snellville, GA 30078-6160

Mailing address

2336 Wisteria Dr Ste 440
Snellville, GA 30078-6160
Phone (770) 733-1469

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ssumrallsharma@sosccg.com Direct SOS Counseling and Consultation Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC008018GAMDCounselor
LPC05448ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Counseling and Consultation Group, LLC Mental Health CurrentSince Feb 1, 2022 Accepting new patients

Locations

2336 Wisteria Dr
Ste 440
Snellville, GA 30078
Phone (770) 733-1469

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1669124343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR STE 440",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786160",
            "telephone_number": "770-733-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR STE 440",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786160",
            "telephone_number": "770-733-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "SIERRA",
        "middle_name": "MAGNOLIA",
        "name_prefix": "Mrs.",
        "credential": "LAPC, ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05448",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC008018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ssumrallsharma@sosccg.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "SOS Counseling and Consultation Group, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2336 Wisteria Dr Ste 440",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300786160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.