Sparrow Counseling Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SPARROW COUNSELING GROUP, LLC

Practice address

8710 Bash St Unit 501936
Indianapolis, IN 46250-4078

Phone

(317) 464-7515

Fax

(317) 983-0863

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Theresa Holliday, LCSWNPI 1508133604

Title

Co-Owner

Phone

(317) 464-7515

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Holliday, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1508133604
  NPD Authorized official

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1801549084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 BASH ST UNIT 501936",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504078",
            "telephone_number": "317-464-7515",
            "fax_number": "317-983-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 BASH ST UNIT 501936",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504078",
            "telephone_number": "317-464-7515",
            "fax_number": "317-983-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "317-464-7515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1508133604",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1891168423",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Rae Sparks, ATC
• Natalie C Sparks, M.A., B.C.B.A
• Rita Jane Sparks, LCSW
• Tiffany R Sparks
• Victoria Sparks, RD
• Mark Sparrow, M.D.
• Aleece Spasevski
• Cassandra Spaulding-Shields, LMHC
• Alyssa Laine Spaulding, FNP-C
• Brittany Ann Spaulding, PA

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.