Active NPI
Jennifer Sparks, LPC
- Professional Counselor
- Plano, TX
National Provider Identifier
1942481114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62120
- Practice address
- 2800 N Dallas Pkwy
Suite 220
Plano, TX 75093-5993 - Phone
- (972) 679-3445
- Fax
- (972) 781-0203
- NPI assigned
- Nov 16, 2007
- 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 | 62120 | TX | Primary |
Addresses
Primary practice location
2800 N Dallas Pkwy
Suite 220
Plano, TX 75093-5993
Mailing address
675 Austin LN
Lavon, TX 75166-1772
Phone (972) 679-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2024 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62120 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1942481114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 AUSTIN LN",
"city": "LAVON",
"state": "TX",
"postal_code": "751661772",
"telephone_number": "972-679-3445",
"fax_number": "972-781-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N DALLAS PKWY",
"address_2": "SUITE 220",
"city": "PLANO",
"state": "TX",
"postal_code": "750935993",
"telephone_number": "972-679-3445",
"fax_number": "972-781-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.