Active NPI
Song Sparrow Counseling LLC
- Community/Behavioral Health Agency
- Louisville, CO
National Provider Identifier
1952174286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Rosicky, LSCW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231211000544 | CO | Part B Supplier - Clinic/Group Practice | 6800245358 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, CO |
National Provider Directory
National Provider DirectoryPractitioners & 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.