Active NPI
Cody G. Sparks, LCP, LMLP, LMAC
- Psychologist
- Salina, KS
National Provider Identifier
1497846273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 131
- Practice address
- 809 Elmhurst Blvd
Salina, KS 67401-7405 - Phone
- (785) 823-6322
- Fax
- (785) 823-3109
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0133 | KS | |
| Psychologist | 103T00000X | 131 | KS | Primary |
Addresses
Primary practice location
809 Elmhurst Blvd
Salina, KS 67401-7405
Mailing address
809 Elmhurst Blvd
Salina, KS 67401-7405
Phone (785) 823-6322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004437030001 | Medicaid | KS |
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 |
|---|---|---|---|
| 131 | KS | MD | Mental Health Counselor |
| 0133 | KS | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Kansas Mental Health Center | Past | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salina, KS
- NPI 1467491340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1497846273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ELMHURST BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "674017405",
"telephone_number": "785-823-6322",
"fax_number": "785-823-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ELMHURST BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "674017405",
"telephone_number": "785-823-6322",
"fax_number": "785-823-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "CODY",
"middle_name": "G.",
"credential": "LCP, LMLP, LMAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "0133",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004437030001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.