P Praxis·MD
● Active Type 1 · Individual

Clyde William Sandford, LPC

Counselor·Jackson, GA· NPI 1316176860 · Enumerated 2009 · 16 years on NPI
Sandford is 1 of 5 counselor providers in Jackson and 1 of 7547 in Georgia.
NPI age
16 years
Enumerated 2009-07-06
Primary specialty
Counselor
Plus 5 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
5
In the 19% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
169 Dempsey Ave Ste 3
Jackson, GA 302332019
📞 4018894673
Mailing address
Po Box 703
Jackson, GA 302330014
📞 6038019392

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
9 Vose Farm Rd, Suite 120
Peterborough, NH 034582154
📞 6039247236
Location 3
1944 Brannan Rd
McDonough, GA 302534310
📞 6782896981

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC011574 taxonomy 101YP2500X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    GA license #LPC011574 taxonomy 101Y00000X
  • Counselor
    Definition to come...
    GA license #LPC011574 taxonomy 101YA0400X
  • Counselor
    Definition to come...
    GA license #LPC011574 taxonomy 101YM0800X
  • Counselor
    Definition to come...
    GA license #LPC011574 taxonomy 101YP1600X
  • Marriage & Family Therapist
    A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
    GA license #LPC011574 taxonomy 106H00000X

Identifiers

TypeValueNotes
05 (NH) 81263595

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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