P Praxis·MD
● Active Type 1 · Individual

Tanja Supon-Clause, MA LPC

Counselor·Guyton, GA· NPI 1639638703 · Enumerated 2019 · 7 years on NPI
Supon-Clause is 1 of 2 counselor providers in Guyton and 1 of 7547 in Georgia.
NPI age
7 years
Enumerated 2019-03-18
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-17
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
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
109 Cotton Bluff Ct
Guyton, GA 313127540
📞 9124335099
Mailing address
109 Cotton Bluff Ct
Guyton, GA 313127540
📞 9124335099

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC010837 taxonomy 101YP2500X

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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