Individual provider Active NPI

Kelley Dyanne Sproles, LMFT

  • Marriage & Family Therapist
  • Alpharetta, GA
National Provider Identifier
1972090538
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001763 Issued in GA
Practice address
5480 McGinnis Village PL Ste 104
Alpharetta, GA 30005-1746
Phone
(678) 213-2194
Fax
(678) 922-7767
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001763 GA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

5480 McGinnis Village PL Ste 104
Alpharetta, GA 30005-1746

Mailing address

5480 McGinnis Village PL Ste 104
Alpharetta, GA 30005-1746
Phone (678) 213-2194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506003210 GA Practitioner - Marriage and Family Therapist 0648610758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

1838 Old Norcross Rd
BLDG F Suite 400
Lawrenceville, GA 30044-8804
Phone (678) 213-2194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Apr 1, 2024 Accepting new patients
Healthwise Psychology, PA PastSince May 7, 2014 Accepting new patients
Scott M Yarosh, LLC PastSince Dec 15, 2009 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

5480 McGinnis Village Pl
Ste 104
Alpharetta, GA 30005
Phone (973) 477-3131

1838 Old Norcross Rd
Ste 400
Lawrenceville, GA 30044
Phone (470) 795-7695

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 3

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1972090538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 MCGINNIS VILLAGE PL STE 104",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051746",
            "telephone_number": "678-213-2194",
            "fax_number": "678-922-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 MCGINNIS VILLAGE PL STE 104",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051746",
            "telephone_number": "678-213-2194",
            "fax_number": "678-922-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROLES",
        "first_name": "KELLEY",
        "middle_name": "DYANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001763",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.