JACOB SPARKS


Address: 77 Trails End Rd, Eureka, MT 59917
Phone: 8016434846

JACOB SPARKS (NPI# 1346534393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MT BBH-LMFT-LIC-12233 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
862 S Main St Ste 4, Brigham City, UT 843023389 4357231799

Other Providers JACOB SPARKS

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

Office Location

Street Address 77 TRAILS END RD
City EUREKA
State MT
Zip Code 59917

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City EUREKA
Zip Code 59917

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Dataset Information

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.

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