TANJA SUPON-CLAUSE MA LPC
NPI 1639638703
Counselor - Professional in Guyton, GA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
109 COTTON BLUFF CT, GUYTON, GA 31312(912) 433-5099 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Tanja Supon-clause Ma Lpc NPPES

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

TANJA SUPON-CLAUSE MA LPC (NPI 1639638703) is an individual professional provider in Guyton, Georgia, licensed in Georgia (LPC010837) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639638703
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTANJA SUPON-CLAUSECredential: MA LPC
Location Address109 COTTON BLUFF CTGuyton, GA 31312-7540
Mailing Address109 Cotton Bluff CtGuyton, GA 31312-7540 · (912) 433-5099
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 18, 2019
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1639638703 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 · LPC010837
109 COTTON BLUFF CT, Guyton, GA 31312

Accepted 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

Tanja Supon-clause Ma 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 ID648503409
PECOS Enrollment IDI20240708003351
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanja Supon-clause's NPI number?

The NPI number for Tanja Supon-clause is 1639638703. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Tanja Supon-clause located?

Tanja Supon-clause practices at 109 Cotton Bluff Ct, Guyton, GA 31312. The listed phone number is (912) 433-5099.

What is Tanja Supon-clause's specialty?

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

Is Tanja Supon-clause enrolled in Medicare?

Yes. Tanja Supon-clause is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tanja Supon-clause accept?

Health plans from CareSource and UnitedHealthcare list Tanja Supon-clause as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanja Supon-clause was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.