Active NPI
Elizabeth Ann Sparks, LLPC
- Professional Counselor
- Jackson, MI
National Provider Identifier
1699910919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010712
- Practice address
- 1218 Greenwood Ave
Jackson, MI 49203-3037 - Phone
- (517) 990-0596
- Fax
- (517) 990-1280
- NPI assigned
- Dec 16, 2008
- Last updated
- Dec 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010712 | MI | Primary |
Addresses
Primary practice location
1218 Greenwood Ave
Jackson, MI 49203-3037
Mailing address
1200 N West Ave
Suite 400
Jackson, MI 49202-2179
Phone (517) 780-3336
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 |
|---|---|---|---|
| 6401010712 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1699910919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N WEST AVE",
"address_2": "SUITE 400",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022179",
"telephone_number": "517-780-3336",
"fax_number": "517-796-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 GREENWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033037",
"telephone_number": "517-990-0596",
"fax_number": "517-990-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.