Individual provider Active NPI

Catherine Daniels Sparkman, MS, LMHC, LPC

  • Professional Counselor
  • Willow Spring, NC
National Provider Identifier
1124424858
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14666 Issued in NC
Practice address
1904 Middle Ridge Dr
Willow Spring, NC 27592-6821
Phone
(850) 459-0667
NPI assigned
Nov 6, 2014
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 12226 FL
Mental Health Counselor 101YM0800X 14432 FL
Professional Counselor 101YP2500X 14666 NC Primary

Addresses

Primary practice location

1904 Middle Ridge Dr
Willow Spring, NC 27592-6821

Mailing address

1904 Middle Ridge Dr
Willow Spring, NC 27592-6821
Phone (850) 459-0667

Other practice location 1

2855 Apalachee Pkwy
Apt 80B
Tallahassee, FL 32301-3681
Phone (850) 459-0667

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH 12226FLMDMental Health Counselor
14666NCMDProfessional Counselor
14432FLMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1124424858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 MIDDLE RIDGE DR",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275926821",
            "telephone_number": "850-459-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 MIDDLE RIDGE DR",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275926821",
            "telephone_number": "850-459-0667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Apalachee Pkwy",
            "address_2": "Apt 80B",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323013681",
            "country_code": "US",
            "telephone_number": "850-459-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "CATHERINE",
        "middle_name": "DANIELS",
        "credential": "MS, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 12226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14432",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Spring, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.