Mandy Kay Sproul, MAAT, LPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.00181015 Issued in CO

Practice address

1 Backroad
Madrid, NM 87010-9727

Phone

(515) 996-0278

NPI assigned

Mar 21, 2022

Last updated

Feb 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sprouting Minds Art Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madrid, NM
  • NPI 1073366431
  Medicare reassignment NPD Authorized official
• Bluejay Counseling

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1902551690
  Medicare reassignment NPD
• Kellum Counseling

  • Professional Counselor
  • Loveland, CO
  • NPI 1184234049
  NPD (past)
• Kidstuff Child & Family Counseling, P.C.

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1073375275
  NPD (past)
• Kidstuff Child and Family Counseling, P.C.

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1326798703
  NPD (past)
• Kidstuff Child and Family Counseling, P.C.

  • Professional Counselor
  • Greeley, CO
  • NPI 1396374237
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1194474700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BACKROAD",
            "city": "MADRID",
            "state": "NM",
            "postal_code": "870109727",
            "telephone_number": "515-996-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BACKROAD",
            "city": "MADRID",
            "state": "NM",
            "postal_code": "870109727",
            "telephone_number": "515-996-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Camino Del Rio Ste C1-B",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813036826",
            "country_code": "US",
            "telephone_number": "970-775-7061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROUL",
        "first_name": "MANDY",
        "middle_name": "KAY",
        "credential": "MAAT, LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.00181015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Davis
• Robert F Falong
• Sprouting Minds Art Therapy LLC

• Professional Counselor in Madrid, NM
• Providers in Madrid, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.