Sparrow Professional Development & Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SPARROW PROFESSIONAL DEVELOPMENT & COUNSELING CENTER

Practice address

607 SE Jefferson St
Dallas, OR 97338-2025

Phone

(503) 910-6822

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Slad F Thackeray

Title

Director/Owner

Phone

(503) 910-6822

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Slade F Thackeray, LPC

  • Counselor
  • Dallas, OR
  • NPI 1992460703
  NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1881358901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 SW LEVENS ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382266",
            "telephone_number": "503-910-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SE JEFFERSON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382025",
            "telephone_number": "503-910-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW PROFESSIONAL DEVELOPMENT & COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "THACKERAY",
        "authorized_official_first_name": "SLAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "503-910-6822"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle J Smallwood, PSS
• Jody A Smith, BA
• Jennifer Ann Sneeuwjagt, DC
• Alfredo Jose Soto, M.D.
• Southwestern Polk County Rural Fire Protection District (SW Polk Fire District)
• Gina Squires
• Andrew Stark
• Beca Maray Stearns
• Matthew Scott Steinmetz, M.S.W.
• Steven Latulippe MD PC (Steve A LaTuippe MD PC)

• Counselor in Dallas, OR
• Providers in Dallas, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.