Catherine Daniels Sparkman, MS, LMHC, LPC
Individual provider Active NPI Professional Counselor · Willow Spring, NC
NPI 1124424858 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1124424858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 14666 (NC)
- Practice address
- 1904 Middle Ridge Dr
Willow Spring, NC 27592-6821 - Phone
- (850) 459-0667
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 12226 | FL | MD | Mental Health Counselor |
| 14666 | NC | MD | Endodontist |
| 14432 | FL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 12226 | FL | |
| Mental Health Counselor | 101YM0800X | 14432 | FL | |
| Professional Counselor | 101YP2500X | 14666 | NC | Yes |
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
Other providers in Willow Spring, NC
- Renew You Wig & Aesthetics LLC
- Donna P Robinson
- Alise Rogers
- Briana Rosenbaum
- Alexandria Kathleen Sharp
- Troy Philip Swanson
- Danielle Terry
- The Nicu & Beyond, Inc.
- Tracy Lynn Thompson
- United Family Network Inc.
All providers in Willow Spring, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.