Stacey Sparks, LPC is a
Counselor - Professional based in Maroa, Illinois. Stacey Sparks is licensed to practice in Illinois (license number 178005202) and her current practice location is
410 W Lincoln St, Maroa, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 433-3002.
NPI number for Stacey Sparks is 1508325176 and her current mailing address is 410 W Lincoln St, Maroa, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508325176.
Healthcare Provider's Profile
Full Name | Stacey Sparks |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 410 W Lincoln St, Maroa, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508325176
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 03/13/2019
Medical Identifiers
Medical identifiers for Stacey Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508325176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178005202 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Sparks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacey Sparks, LPC 410 W Lincoln St, Maroa, IL 61756-9220 Ph: (217) 433-3002 | Stacey Sparks, LPC 410 W Lincoln St, Maroa, IL 61756-9220 Ph: (217) 433-3002 |
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