Rachael Deeann Sparks, PLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2018027688 Issued in MO

Practice address

2024 Cherry Hill Dr # 201C
Columbia, MO 65203-5921

Phone

(573) 823-7192

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anxiety & Depression Clinic of Columbia

  • Professional Counselor
  • Columbia, MO
  • NPI 1285126847
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1124594437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AMANDA DR",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650101204",
            "telephone_number": "573-424-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CHERRY HILL DR # 201C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035921",
            "telephone_number": "573-823-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "RACHAEL",
        "middle_name": "DEEANN",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2018027688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc.
• John Robert Souza, L.C.S.W.
• James Jay Sowash, M.D.
• Tajudeen Olarotimi Soyoye, MD
• N Diane Spalding, APRN, BC
• Stacy Sparks, MSW, LCSW
• Vince Spears, PLPC
• Specialty Surgical Services
• Victoria Specketer
• Laura Speckhals, OTR/L

• Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.