Active NPI
Constantine G Sparagis, LPC, BC-TMH
- Mental Health Counselor
- Channahon, IL
National Provider Identifier
1750039277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.01958
- Practice address
- 26063 W Leslie Dr
Channahon, IL 60410-5353 - Phone
- (815) 600-5278
- NPI assigned
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.01958 | IL | Primary |
Addresses
Primary practice location
26063 W Leslie Dr
Channahon, IL 60410-5353
Mailing address
26063 W Leslie Dr
Channahon, IL 60410-5353
Phone (815) 600-5278
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 |
|---|---|---|---|
| 178.01958 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1750039277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26063 W LESLIE DR",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604105353",
"telephone_number": "815-600-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26063 W LESLIE DR",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604105353",
"telephone_number": "815-600-5278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARAGIS",
"first_name": "CONSTANTINE",
"middle_name": "G",
"credential": "LPC, BC-TMH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.01958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Channahon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.