Organization Active NPI

Song Sparrow Counseling LLC

  • Community/Behavioral Health Agency
  • Louisville, CO
National Provider Identifier
1952174286
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SONG SPARROW COUNSELING LLC
Practice address
287 Century Cir Ste 100
Louisville, CO 80027-1684
Phone
(720) 310-8241
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Charles Rosicky, LSCWNPI 1538944574
Title
Therapist Owner
Phone
(720) 310-8241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

287 Century Cir Ste 100
Louisville, CO 80027-1684

Mailing address

287 Century Cir Ste 100
Louisville, CO 80027-1684
Phone (720) 310-8241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211000544 CO Part B Supplier - Clinic/Group Practice 6800245358 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1952174286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 CENTURY CIR STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271684",
            "telephone_number": "720-310-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CENTURY CIR STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271684",
            "telephone_number": "720-310-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG SPARROW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-07-15",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "ROSICKY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "THERAPIST OWNER",
        "authorized_official_telephone_number": "720-310-8241",
        "authorized_official_credential": "LSCW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.