Individual provider Active NPI

Albert Todd Sparks, MSCC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1811493935
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3093 Issued in NE
Practice address
1941 S 42ND St Ste 538
Omaha, NE 68105-2945
Phone
(402) 788-4846
Fax
(402) 702-0664
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 3093 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 538
Omaha, NE 68105-2945

Mailing address

7315 Maple St
Omaha, NE 68134-6821
Phone (402) 393-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240419003532 NE Practitioner - Mental Health Counselor 0547609711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Rebuild Reconnect Counseling CenterGroup PAC ID 3678910809, 4 clinicians

Practice addresses (Care Compare)

1941 S 42ND St
Suite 506
Omaha, NE 68105-2945
Phone (402) 788-4846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3093NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspired Visions Counseling Services Mental Health Current Accepting new patients
Restore Rebuild Reconnect Counseling Center CurrentSince Apr 1, 2024 Accepting new patients
Friendship Program Inc Past Accepting new patients

Locations

1941 S 42nd St
Ste 506
Omaha, NE 68105
Phone (402) 788-4846

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1811493935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346821",
            "telephone_number": "402-393-6911",
            "fax_number": "402-393-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 538",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-788-4846",
            "fax_number": "402-702-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ALBERT",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MSCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.