Mr Albert Todd Sparks, MSCC | |
1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | |
(402) 788-4846 | |
(402) 702-0664 |
Full Name | Mr Albert Todd Sparks |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1941 S 42nd St Ste 538, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811493935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3093 (Nebraska) | Primary |
Entity Name | Restore Rebuild Reconnect Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679128318 PECOS PAC ID: 3678910809 Enrollment ID: O20240325000879 |
Mailing Address | Practice Location Address |
---|---|
Mr Albert Todd Sparks, MSCC 7315 Maple St, Omaha, NE 68134-6821 Ph: (402) 393-6911 | Mr Albert Todd Sparks, MSCC 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 Ph: (402) 788-4846 |
Jennifer Ross, M.A., PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 S 10th St, Suite 328, Omaha, NE 68108 Phone: 402-504-4102 | |
Monica L Blizek, LIMHP, CMSW, LADC Counselor Medicare: Medicare Enrolled Practice Location: 8502 Mormon Bridge Rd, Omaha, NE 68152 Phone: 402-991-8509 Fax: 402-455-7050 | |
Kate Anderson, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8922 Cuming St, Omaha, NE 68114 Phone: 402-926-4373 Fax: 402-926-3898 | |
Adriana Niemann, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4920 S 30th St, Suite 103, Omaha, NE 68107 Phone: 402-734-4110 | |
Ms. Diana M Shaw, LMHP, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 S 75th St, Omaha, NE 68114 Phone: 402-391-2477 | |
Dr. Alan Luis Hensley, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 11329 P St # 108, Omaha, NE 68137 Phone: 402-650-1101 Fax: 402-597-2122 | |
Sheri L Guenther, PMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 S 44th St, Omaha, NE 68131 Phone: 402-559-8943 Fax: 402-559-5737 |