SUWANNE TAQUISE SANCKO LPC
NPI 1336752195
Counselor - Professional in Smyrna, GA

Q: What is Suwanne Sancko's NPI number?

The NPI number for Suwanne Sancko is 1336752195. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Q: What is Suwanne Sancko's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Suwanne Sancko was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment

400 TECHNOLOGY CT SE STE J, SMYRNA, GA 30082(770) 431-2354(770) 436-7143 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Dec 24, 2025, Jun 4, 2023 and 1 more (4 updates tracked since 2020).

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About Suwanne Taquise Sancko Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUWANNE TAQUISE SANCKO LPC (NPI 1336752195) is an individual professional provider in Smyrna, Georgia, licensed in Georgia (LPC012989) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336752195

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSUWANNE TAQUISE SANCKOCredential: LPC

Location Address400 TECHNOLOGY CT SE STE JSmyrna, GA 30082-5237

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(770) 431-2354

Fax(770) 436-7143

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 31, 2020

Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1336752195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC012989

400 TECHNOLOGY CT SE STE J, Smyrna, GA 30082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suwanne Taquise Sancko Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961846019

PECOS Enrollment IDI20240216003254

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOMMIE MACK RICHARDSON MD

Family Medicine (Addiction Medicine)