NPIMap

Organization Active NPI

Sears Counseling, LLC

  • Professional Counselor
  • St Simons Island, GA
National Provider Identifier
1679117204
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SEARS COUNSELING, LLC
Practice address
1000 New Sea Island Rd Apt 54
Saint Simons Island, GA 31522-2443
Phone
(678) 723-8307
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Jennifer Sears, LPCNPI 1235664145
Title
Professional Counselor
Phone
(912) 286-4398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1000 New Sea Island Rd Apt 54
Saint Simons Island, GA 31522-2443

Mailing address

1000 New Sea Island Rd Apt 54
Saint Simons Island, GA 31522-2443

Other practice location 1

104 Follins Ln
Saint Simons Island, GA 31522-4299
Phone (912) 268-0533

Other practice location 2

300 Oak St Ste 203
Saint Simons Island, GA 31522-4737
Phone (912) 268-4750

National Provider Directory

National Provider Directory

Locations

104 Follins Ln
St Simons Is, GA 31522
Phone (912) 268-0533

300 Oak St
Ste 203
St Simons Island, GA 31522
Phone (912) 268-4750

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1679117204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEW SEA ISLAND RD APT 54",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEW SEA ISLAND RD APT 54",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222443",
            "telephone_number": "678-723-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Follins Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Simons Island",
            "state": "GA",
            "postal_code": "315224299",
            "country_code": "US",
            "telephone_number": "912-268-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Oak St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Saint Simons Island",
            "state": "GA",
            "postal_code": "315224737",
            "country_code": "US",
            "telephone_number": "912-268-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEARS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "912-286-4398",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.