Sparc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

27849 Issued in NY

Legal business name

SPARC

Practice address

3 Mercycare LN
Guilderland, NY 12084-3504

Phone

(518) 452-6705

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Hewitt-Gill, MA

Title

Education Specialist

Phone

(518) 452-6705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1427452630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843504",
            "telephone_number": "518-452-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HEWITT-GILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "EDUCATION SPECIALIST",
        "authorized_official_telephone_number": "518-452-6705",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "27849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Guilderland, NY
• Providers in Guilderland, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.