Active NPI
Patricia Oliver Sprouse, M.S., L.P.C.
- Professional Counselor
- Mebane, NC
National Provider Identifier
1841249091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4787
- Practice address
- 301 N Second St
Mebane, NC 27302-2401 - Phone
- (919) 923-6777
- NPI assigned
- May 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4787 | NC | Primary |
Addresses
Primary practice location
301 N Second St
Mebane, NC 27302-2401
Mailing address
1606 W Lakewood Ave
Durham, NC 27707-1129
Phone (919) 923-6777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140NE | Other | NC | BCBSNC |
| 6102658 | Medicaid | NC | |
| 186049 | Other | NC | MEDCOST |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4787 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841249091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 W LAKEWOOD AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071129",
"telephone_number": "919-923-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N SECOND ST",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022401",
"telephone_number": "919-923-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROUSE",
"first_name": "PATRICIA",
"middle_name": "OLIVER",
"name_prefix": "Ms.",
"credential": "M.S., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "140NE",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102658",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "186049",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.