Active NPI
Elen Michele Sprole, LCPC
- Professional Counselor
- Henderson, NV
National Provider Identifier
1003136995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP0006
- Practice address
- 2852 Kinknockie Way
Henderson, NV 89044-0250 - Phone
- (702) 499-3456
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00009042 | WA | |
| Professional Counselor | 101YP2500X | CP0006 | NV | Primary |
Addresses
Primary practice location
2852 Kinknockie Way
Henderson, NV 89044-0250
Mailing address
2852 Kinknockie Way
Henderson, NV 89044-0250
Phone (702) 499-3456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00009042 | WA | MD | Mental Health Counselor |
| CP0006 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Mental Health, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1003136995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 KINKNOCKIE WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440250",
"telephone_number": "702-499-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2852 KINKNOCKIE WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440250",
"telephone_number": "702-499-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROLE",
"first_name": "ELEN",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009042",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP0006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.