Individual provider Active NPI

Chellsea Sparks, M.A., LPC-ASSOSCIATE

  • Counselor
  • Amarillo, TX
National Provider Identifier
1861219784
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
93664 Issued in TX
Practice address
4200 Ridgecrest Cir Ste B
Amarillo, TX 79109-5416
Phone
(806) 680-3695
Fax
(888) 392-2231
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 93664 TX Primary

Addresses

Primary practice location

4200 Ridgecrest Cir Ste B
Amarillo, TX 79109-5416

Mailing address

5204 While a Way Rd
Amarillo, TX 79109-5750
Phone (806) 680-3695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 9, 2026 through Jun 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
93664TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Professional Counseling and Consultation PLLC Past Accepting new patients

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1861219784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 WHILE A WAY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095750",
            "telephone_number": "806-680-3695",
            "fax_number": "888-392-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 RIDGECREST CIR STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095416",
            "telephone_number": "806-680-3695",
            "fax_number": "888-392-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CHELLSEA",
        "credential": "M.A., LPC-ASSOSCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "93664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.