Active NPI
Susan Sparks, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1003641945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 86834
- Practice address
- 3509 Hulen St Ste 107
Fort Worth, TX 76107-6834 - Phone
- (817) 382-7130
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 86834 | TX | Primary |
Addresses
Primary practice location
3509 Hulen St Ste 107
Fort Worth, TX 76107-6834
Mailing address
1701 Rogers Rd Apt 328
Fort Worth, TX 76107-6593
Phone (817) 422-3081
Other practice location 1
1701 Rogers Rd Apt 328
Fort Worth, TX 76107-6593
Phone (817) 422-3081
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 |
|---|---|---|---|
| 86834 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1003641945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 ROGERS RD APT 328",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076593",
"telephone_number": "817-422-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 HULEN ST STE 107",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076834",
"telephone_number": "817-382-7130"
}
],
"practiceLocations": [
{
"address_1": "1701 Rogers Rd Apt 328",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761076593",
"country_code": "US",
"telephone_number": "817-422-3081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.