Jarek Sparaco, LGPAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ATG355 Issued in MD

Practice address

626 Towne Center Dr Ste 204
Joppa, MD 21085-4451

Phone

(443) 313-3240

NPI assigned

Dec 12, 2023

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Fresh Start Therapeutic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Joppa, MD
  • NPI 1437767852
  NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1457129108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LATROBE PARK TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305260",
            "telephone_number": "410-370-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 TOWNE CENTER DR STE 204",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854451",
            "telephone_number": "443-313-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACO",
        "first_name": "JAREK",
        "credential": "LGPAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "ATG355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquia Shivers
• Diana Sims
• Alisha Singh, PA-C
• Yelana Slavov, MS CCC SLP
• Amanda Smithmyer, LMSW
• Dwayne Speaks, LCSW-C
• Cynthia Sprague, LCPC
• Stardust Counseling Inc
• Christopher Thomas Steel
• Stephanie Linder, M.D., LLC

• Mental Health Counselor in Joppa, MD
• Providers in Joppa, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.