Individual provider Active NPI

Caitlin Allie Sprinkel, LCMHC, LPC

  • Professional Counselor
  • Bristol, TN
National Provider Identifier
1861106932
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77286 Issued in TX
Practice address
424 Melrose St
Bristol, TN 37620-3626
Phone
(678) 982-4213
NPI assigned
Jan 12, 2023
Reactivated
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77286 TX Primary
Professional Counselor 101YP2500X 14753 NC
Professional Counselor 101YP2500X 6753 TN

Addresses

Primary practice location

424 Melrose St
Bristol, TN 37620-3626

Mailing address

424 Melrose St
Bristol, TN 37620-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240415000120 TX Practitioner - Mental Health Counselor 4587003256 Reassigns benefits to 1 organization
I20241211000932 NC Practitioner - Mental Health Counselor 4587003256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14753NCMDProfessional Counselor
77286TXMDProfessional Counselor
6753TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 5, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 1

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1861106932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MELROSE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MELROSE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203626",
            "telephone_number": "678-982-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINKEL",
        "first_name": "CAITLIN",
        "middle_name": "ALLIE",
        "credential": "LCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "deactivation_date": "2023-03-02",
        "reactivation_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77286",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14753",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.