Active NPI
Rochelle Nicole Sparks
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1457942567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.178777
- Practice address
- 5815 Westbourne Ave
Columbus, OH 43213-1459 - Phone
- (833) 510-4357
- NPI assigned
- Feb 1, 2021
- Last updated
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 175152 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.178777 | OH | Primary |
| Social Worker | 104100000X | S.2410807 | OH |
Addresses
Primary practice location
5815 Westbourne Ave
Columbus, OH 43213-1459
Mailing address
117 Granary Apt 107
Columbus, OH 43207-5282
Phone (220) 242-0706
Other practice location 1
4000 E Main St
Columbus, OH 43213-2950
Phone (614) 334-6903 ext. 1316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175152 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.178777 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2410807 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| An Anointed Touch Recovery Center LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1275411928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1457942567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 GRANARY APT 107",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432075282",
"telephone_number": "220-242-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 WESTBOURNE AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131459",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [
{
"address_1": "4000 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432132950",
"country_code": "US",
"telephone_number": "614-334-6903 x1316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "ROCHELLE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "175152",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.178777",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2410807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.