Tirsa Sparr

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5208 Issued in OR

Practice address

175 W B St Ste H
Springfield, OR 97477-4575

Phone

(541) 423-2633

Fax

(541) 299-5685

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Feb 20, 2025 through Feb 20, 2027

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 and National Provider Directory roles.

• Selah Counseling & Wellness LLC

  • Mental Health Counselor
  • Springfield, OR
  • NPI 1851996524
  NPD

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1609228824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 COMPTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042705",
            "telephone_number": "801-735-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W B ST STE H",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774575",
            "telephone_number": "541-423-2633",
            "fax_number": "541-299-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Club Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012439",
            "country_code": "US",
            "telephone_number": "541-393-5983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARR",
        "first_name": "TIRSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lyn Sorensen
• Allison Southworth
• Lucas Southworth
• Robert Sozda, MT-BC
• Sarah Sparks
• Speak Out Services, LLC (Speak OUt Services)
• Special Care Transport Inc
• Hayden Spence, BS, QMHA
• Eric A Spencer, MD
• Donna Spicer, LPN

• Mental Health Counselor in Springfield, OR
• Providers in Springfield, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.