JACOB SPARKS (NPI# 1346534393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346534393 |
Entity Type | Individual |
Full Name | JACOB SPARKS |
Credential | LMFT |
Practice Address |
77 Trails End Rd Eureka MT 59917 |
Mailing Address |
77 Trails End Rd Eureka MT 59917-9332 |
Practice Telephone | 8016434846 |
Mailing Telephone | 8016434846 |
Enumeration Date | 2011-06-07 |
Last Update Date | 2019-09-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | BBH-LMFT-LIC-122 | MT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | BBH-LMFT-LIC-12233 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
862 S Main St Ste 4, Brigham City, UT 843023389 | 4357231799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841753795 | Jacob Andrew Sparks | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2019-04-08 |
Street Address |
77 TRAILS END RD |
City | EUREKA |
State | MT |
Zip Code | 59917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902446867 | Kendra Meiklejohn | Social Worker | 77 Trails End Rd, Eureka, MT 59917-9332 | 2020-01-08 |
1770921868 | Chrysalis | Psychiatric Residential Treatment Facility | 77 Trails End Rd, Eureka, MT 59917-9332 | 2013-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154892370 | Danielle Bartley | Counselor | 235 7th Street East, Eureka, MT 59917 | 2018-12-16 |
1619462801 | Carl William Florey | Massage Therapist | 626 Sherman Creek Road, Eureka, MT 59917 | 2018-06-29 |
1609367143 | Chelsea Mae Torres | Massage Therapist | 1711 Hwy 37, Eureka, MT 59917 | 2018-05-21 |
1265921639 | Glacier Clinic LLC | Counselor | 99 Mills Spring Rd Ste 1, Eureka, MT 59917 | 2018-05-01 |
1568759249 | Lincoln County Community Health Center | Clinic/Center | 100 Dewey Ave, Eureka, MT 59917 | 2011-07-01 |
1588953632 | Grizzly Eye Center, PC | Optometrist | 317 Dewey Avenue, Eureka, MT 59917 | 2011-03-29 |
1881996981 | Home Sweet Home | Assisted Living Facility | 144 Tobacco Valley View Drive, Eureka, MT 59917 | 2010-11-22 |
1679889240 | Larry J Lawler | Counselor | 403 1st. Ave. East, Eureka, MT 59917 | 2010-08-20 |
1689859654 | Karen Joann Lee | Dental Hygienist | 1210 Highway 93 N, Eureka, MT 59917 | 2008-01-08 |
1427259407 | Richard Dee Brewer | Pharmacist | 998 Hwy 93n, Eureka, MT 59917 | 2007-05-29 |
Find all providers in zip 59917 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366918765 | Kaylyn Paige Seamands | Marriage & Family Therapist | 350 E St Ste 405, Eureka, CA 95501-0352 | 2018-10-23 |
1548741689 | Dylan Cimbura-hernandez | Marriage & Family Therapist | 18 Minette Ln, Eureka, CA 95503-8534 | 2018-08-27 |
1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
1275982829 | Monica Hubbard | Marriage & Family Therapist | 3172 Walford Ave Ste 6, Eureka, CA 95503-4897 | 2016-06-05 |
1124360284 | Eric Forest Wilcox | Marriage & Family Therapist | 134 D St Fl 3, Eureka, CA 95501-0455 | 2013-03-26 |
1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
1962792242 | Tamara Leigh Severn | Marriage & Family Therapist | 3015 Hubbard Ln Ste 3, Eureka, CA 95501 | 2011-04-07 |
1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
1659552917 | Kim Ann Moor | Marriage & Family Therapist | 3009 Hubbard Ln Ste C, Eureka, CA 95501 | 2007-11-15 |
1497960512 | Elizabeth Catherine Olson | Marriage & Family Therapist | 901 5th St, Eureka, CA 95501-1108 | 2007-05-11 |
Find all providers in EUREKA |
Please comment or provide details below to improve the information on JACOB SPARKS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.