AMANDA LEAH SPARKS LSW NCC LPCA NPI 1699163816

NPI Information

NPI: 1699163816
Provider Name: AMANDA LEAH SPARKS, LSW, NCC, LPCA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
411 COURT ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 354-6685
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Amanda Leah Sparks, LSW, NCC, LPCA is a mental health counselor in Portsmouth, OH. Amanda Leah Sparks, LSW, NCC, LPCA NPI is 1699163816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

411 COURT ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 354-6685

The enumeration date for this NPI number is 12/23/2014 and was last updated on 9/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		166698	KENTUCKY	No
2	101Y00000X	Counselor		C.1902344	OHIO	No
3	101YM0800X	Counselor	Mental Health	QMHS		No
4	171M00000X	Case Manager/Care Coordinator		CMS	OHIO	No
5	101YM0800X	Counselor	Mental Health	E.20011683	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0375975	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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