Scottye Sparks, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

281849 Issued in KY

Practice address

4414 Old Lagrange Rd
Buckner, KY 40010-9547

Phone

(502) 222-2389

Fax

(502) 222-2927

NPI assigned

Jul 2, 2015

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Prodigal Ministries LLCGroup PAC ID 2860840493, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prodigal Ministries, LLC

  dba Prodigal Counseling Services

  • Mental Health Counselor
  • Buckner, KY
  • NPI 1013662717
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  KY

  Medicare reassignment NPD
• Prodigal Ministries, LLC

  dba Prodigal Counseling Services

  • Professional Counselor
  • Florence, KY
  • NPI 1376313973
  NPD
• Pathways Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1982615043
  NPD (past)
• Pathways, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1609260199
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1447633839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400141484",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 OLD LAGRANGE RD",
            "city": "BUCKNER",
            "state": "KY",
            "postal_code": "400109547",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Front Ave",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531614",
            "country_code": "US",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Main St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410422078",
            "country_code": "US",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "SCOTTYE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "281849",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "281849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100879980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Patton, DMD
• Deenie Pelfrey
• Prodigal Ministries, LLC (Prodigal Counseling Services)
• Bryan Purcell, LPCC
• Kendra M Smith-Wehr, MED, BCBA, LBA
• Ashley Stump, CADCA1

• Professional Counselor in Buckner, KY
• Providers in Buckner, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.