NPIMap

Organization Active NPI

Sparks Counseling Services, LLC

  • Mental Health Counselor
  • Gardner, MA
National Provider Identifier
1235776329
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPARKS COUNSELING SERVICES, LLC
Doing business as
Sparks Counseling Services, LLC
Practice address
101 Mechanic St
Gardner, MA 01440-3119
Phone
(508) 963-9526
NPI assigned
Dec 8, 2019
Last updated
Dec 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Stacey Sparks, CAGS, LMHCNPI 1437651247
Title
Owner
Phone
(508) 963-9526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

101 Mechanic St
Gardner, MA 01440-3119

Mailing address

12 Fern St
Baldwinville, MA 01436-1354
Phone (508) 963-9526

Other names 1

  • Sparks Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

101 Mechanic St
Gardner, MA 01440
Phone (508) 963-9526

55 Lake St
Ste 240
Gardner, MA 01440
Phone (978) 855-3129

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1235776329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FERN ST",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361354",
            "telephone_number": "508-963-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MECHANIC ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403119",
            "telephone_number": "508-963-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-963-9526",
        "authorized_official_credential": "CAGS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparks Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.