Individual provider Active NPI

Afton Elizabeth Fisk Sparrow, LPCC, LPAT, ATR-BC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1619508850
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0201721 Issued in NM
Practice address
6330 Riverside Plaza LN NW Ste 160
Albuquerque, NM 87120-2682
Phone
(505) 444-4127
NPI assigned
Jan 27, 2020
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0201721 NM Primary

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 160
Albuquerque, NM 87120-2682

Mailing address

6330 Riverside Plaza LN NW Ste 160
Albuquerque, NM 87120-2682
Phone (505) 633-8103

Other identifiers 1

IdentifierTypeStateIssuer
98336843MedicaidNM

Other names 1

  • Afton Elizabeth Fisk Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.therapynotes.com Direct GD Psych Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20260527000425 NM Practitioner - Mental Health Counselor 6103213285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6330 Riverside Plaza LN NW
Suite 160
Albuquerque, NM 87120-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0201721NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aka Therapy LLC Mental Health CurrentSince Aug 15, 2021 Accepting new patients
GD Psych Services, LLC Mental Health PastSince Feb 1, 2020 Accepting new patients

Locations

6330 Riverside Plaza Ln NW
Ste 160
Albuquerque, NM 87120
Phone (505) 444-4127

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1619508850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-633-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-444-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK SPARROW",
        "first_name": "AFTON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LPAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0201721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98336843",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.therapynotes.com",
            "affiliation": "Y",
            "endpointDescription": "Electronic Medical Record",
            "affiliationName": "GD Psych Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "661 Quantum Rd NE Ste 8",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871244505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AFTON",
            "last_name": "FISK",
            "middle_name": "ELIZABETH",
            "credential": "LMHC, LPAT, ATR-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.