Sparrow Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC13029 Issued in AZ

Legal business name

SPARROW COUNSELING, LLC

Practice address

4111 E Valley Auto Dr
Suite 201
Mesa, AZ 85206-4605

Phone

(602) 435-9157

Fax

(480) 813-2987

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Therese Helen Kilgore, MC, LPC

Title

Owner/Licensed Professional Counsel

Phone

(602) 435-9157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1700207180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR",
            "address_2": "SUITE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064605",
            "telephone_number": "602-435-9157",
            "fax_number": "480-813-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR",
            "address_2": "SUITE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064605",
            "telephone_number": "602-435-9157",
            "fax_number": "480-813-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "602-435-9157",
        "authorized_official_credential": "MC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC13029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.