Tanja Supon-clause, MA LPC in Guyton, GA - Medicare Mental Health Counselor Provider

Tanja Supon-clause, MA LPC is a medicare enrolled "Counselor - Professional" provider in Guyton, Georgia. She graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is 109 Cotton Bluff Ct, Guyton, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 433-5099.

Tanja Supon-clause is licensed to practice in Georgia (license number LPC010837) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639638703.

Contact Information

	Tanja Supon-clause, MA LPC
	109 Cotton Bluff Ct, Guyton, GA 31312-7540
	(912) 433-5099
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tanja Supon-clause
Gender	Female
Speciality	Mental Health Counselor
Experience	10 Years
Location	109 Cotton Bluff Ct, Guyton, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tanja Supon-clause graduated from medical school in 2015

NPI Data:

NPI Number: 1639638703
Provider Enumeration Date: 03/18/2019
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0648503409
Enrollment ID: I20240708003351

Medical Identifiers

Medical identifiers for Tanja Supon-clause such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639638703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC010837 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanja Supon-clause is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tanja Supon-clause, MA LPC 109 Cotton Bluff Ct, Guyton, GA 31312-7540 Ph: (912) 433-5099	Tanja Supon-clause, MA LPC 109 Cotton Bluff Ct, Guyton, GA 31312-7540 Ph: (912) 433-5099

Reviews and Comments

Counselor in Guyton, GA

Dr. Lakesha Jackson Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 Greystone Dr, Guyton, GA 31312 Phone: 912-410-8990 Fax: 912-410-8990
Lauren Horton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Royal Oak Dr, Guyton, GA 31312 Phone: 912-675-5348
Shannon Bragg Jones, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Floyd Ave, Guyton, GA 31312 Phone: 912-659-7901
Dr. Crystal Malloy, PHD, LPC, MAC, CEAP Counselor Medicare: Accepting Medicare Assignments Practice Location: 174 Scholar Rd, Guyton, GA 31312 Phone: 337-396-5592
Dr. Soneisha Monay Ling, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Blackberry Cir, Guyton, GA 31312 Phone: 912-323-7287

Tanja Supon-clause, MA LPC - Medicare Counselor in Guyton, GA