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Active NPI 1639638703 Individual Practitioner Female Practitioner

Tanja Supon-Clause , MA LPC

Counselor - Professional • Guyton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tanja Supon-Clause, MA LPC is a certified Counselor - Professional practicing in Guyton, GA. With approximately 11 years of clinical experience since completing medical education in 2015, Tanja Supon-Clause delivers high-quality medical care to the local community at 109 COTTON BLUFF CT.

Tanja Supon-Clause is affiliated with Sondermind Provider Network Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

109 Cotton Bluff Ct

Guyton, GA 313127540

Telephone 9124335099

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Guyton, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -12.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Guyton, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Supon-Clause (11 Years) 11 Yrs
Guyton Specialty Average (23.0 Years) 23.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-11-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC010837

Definition to come...

Hospital & Practice Group Affiliations

Sondermind Provider Network Llc

3372 Peachtree Rd Ne, Atlanta, GA 303261963

Phone: 8666300966

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 17, 2023

Registered at 109 COTTON BLUFF CT, GUYTON, GA 313127540 (Tel: 9124335099)

📍
Updated Business Mailing Address November 17, 2023

Registered at 109 COTTON BLUFF CT, GUYTON, GA 313127540 (Tel: 9124335099)

👤
Provider Name / Credentials Updated November 17, 2023

Recorded as TANJA SUPON-CLAUSE, MA LPC

NPI Profile Active March 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2019

Registered at 7370 HODGSON MEMORIAL DR STE B3, SAVANNAH, GA 314062539 (Tel: 9123510168)

📍
Updated Business Mailing Address March 18, 2019

Registered at 7370 HODGSON MEMORIAL DR STE B3, SAVANNAH, GA 314062539 (Tel: 9123510168)

👤
Provider Name / Credentials Updated March 18, 2019

Recorded as TANJA SUPON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Counselor (License #LPC010837 in GA)

🟢
Initial NPI Registration & Enumeration March 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639638703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2019
Last Update: November 17, 2023
Sole Proprietor: Yes

Mailing Address

109 Cotton Bluff Ct

Guyton, GA 313127540

Phone: 9124335099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.