Sapelo Counseling Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000585 Issued in GA

Legal business name

SAPELO COUNSELING CENTER

Practice address

106 Oak St Ste a
Statesboro, GA 30458-0988

Phone

(912) 682-2709

Fax

(912) 764-5661

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maxwell Byron Kennedy, M.F.T.NPI 1265664403

Title

President

Phone

(912) 682-2709

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxwell B Kennedy, MFT

  • Marriage & Family Therapist
  • Statesboro, GA
  • NPI 1265664403
  NPD (past) Authorized official
• Stephen R. Fishack, M.S.W.

  • Clinical Social Worker
  • Statesboro, GA
  • NPI 1144319237
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1942355888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590373",
            "telephone_number": "912-682-2709",
            "fax_number": "912-764-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OAK ST STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580988",
            "telephone_number": "912-682-2709",
            "fax_number": "912-764-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPELO COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-682-2709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwyn Salguero
• Jada Sams
• David P Samuels, DO
• Courtney Nicole Sanderlin, CRNA
• Melissa Sands
• Anna Grace Sapp
• Catherine Sapp, CPNP
• Chandler Williams Sapp, DO
• Julie Elizabeth Sapp, FNP-BC
• Amina Sarr

• Marriage & Family Therapist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.