SARAH KW SPARK (NPI# 1679049258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679049258 |
| Entity Type | Individual |
| Full Name | SARAH KW SPARK |
| Practice Address |
65 N Keller Republic WA 99166 |
| Practice Telephone | 5097753341 |
| Practice Fax Number | 5097752937 |
| Mailing Telephone | 5097753341 |
| Mailing Fax Number | 5097752937 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60871216 | WA | Behavioral Health & Social Service Providers |
| Street Address |
65 N KELLER |
| City | REPUBLIC |
| State | WA |
| Zip Code | 99166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275045536 | Mailyn S Fleck | Peer Specialist | 65 N Keller, Republic, WA 99166-8804 | 2017-10-26 |
| 1104332170 | John J Cruz | Peer Specialist | 65 N Keller, Republic, WA 99166-8804 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976593 | Rachel S Flesher | Doula | 143 N Kauffman St, Republic, WA 99166 | 2016-04-01 |
| 1144534959 | Ferry County Sheriff | Non-emergency Medical Transport (VAN) | 175 North Jefferson, Republic, WA 99166 | 2010-08-04 |
| 1558539734 | Barnaby David Denison | Adult Companion | 42 Klondike Road, Republic, WA 99166 | 2008-02-11 |
| 1205057387 | Robert Walter Hardwick Jr. | Dentist | 194 North Portland St., Republic, WA 99166 | 2007-05-02 |
| 1952438665 | Clara Denise Wisener | Massage Therapist | 720 S Clark Ave, Republic, WA 99166 | 2007-02-28 |
| 1356476477 | Ferry County Emergency Medical Service District 1 | Ambulance | 979 South Clark Ave, 205, Republic, WA 99166 | 2007-02-22 |
| 1457496184 | Ronald L Casebeer | Counselor | 65 North Keller Street, Republic, WA 99166 | 2007-02-20 |
| 1669562047 | Ferry County Counseling Services | Community/Behavioral Health | 147 N. Clark Ave #12, Republic, WA 99166 | 2006-10-13 |
| 1952766503 | Angie Tietsort | Massage Therapist | 28 North Keller Street, Republic, WA 99166 | 2015-12-28 |
| 1174693089 | Robert Mark Slagle | Pharmacist | North 6 Clark St., Republic, WA 99166-0497 | 2006-11-08 |
| Find all providers in zip 99166 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871959585 | Latisha Jolene Creson | Counselor | 129 W State Highway 174, Republic, MO 65738-1036 | 2016-01-11 |
| 1073656690 | Cecile M Taylor | Counselor | 65 North Keller, Republic, WA 99166-9701 | 2007-02-14 |
| 1487082418 | Suzanne Sonne | Counselor | 65 North Keller Street, Republic, WA 99166-1120 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750817 | Nw Family Psychology Rock Pointe | Counselor | 1212 N Washington St Ste 105, Spokane, WA 99201-2441 | 2020-11-03 |
| 1790385821 | Joshua Bigner | Counselor | 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 | 2020-10-28 |
| 1336749589 | Paul Michael Stayback | Counselor | 16668 132nd St Se, Snohomish, WA 98290-6767 | 2020-10-27 |
| 1154920734 | Kayla Robin Daffon | Counselor | 2464 S College St Apt 1, Seattle, WA 98144-4764 | 2020-10-23 |
| 1306445614 | Danica Thomas | Counselor | 415 S 13th St, Tacoma, WA 98402-3415 | 2020-10-19 |
| 1184223463 | Mai Okano | Counselor | 929 N 130th St, Seattle, WA 98133-7500 | 2020-10-19 |
| 1497353122 | Melissa Hess | Counselor | 315 Benham St, Richland, WA 99352-4441 | 2020-10-14 |
| 1083212922 | Kathryn R Meckle | Counselor | 19350 Grand Mound Way Sw, Rochester, WA 98579-9218 | 2020-10-13 |
| 1801493960 | Velles Counseling Services LLC | Counselor | 2209 Rockefeller Ave, Everett, WA 98201-2841 | 2020-10-02 |
| 1073120218 | Tyus X Reed | Counselor | 9103 62nd Ave E, Puyallup, WA 98371-6252 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.