Jacob Sparks, LMFT is a
Marriage & Family Therapist based in Eureka, Montana. Jacob Sparks is licensed to practice in Montana (license number BBH-LMFT-LIC-12233) and his current practice location is
77 Trails End Rd, Eureka, Montana. He can be reached at his office (for appointments etc.) via phone at
(801) 643-4846.
NPI number for Jacob Sparks is 1346534393 and his current mailing address is 77 Trails End Rd, Eureka, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346534393.
Healthcare Provider's Profile
Full Name | Jacob Sparks |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 77 Trails End Rd, Eureka, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346534393
- Provider Enumeration Date: 06/07/2011
- Last Update Date: 09/12/2019
Medical Identifiers
Medical identifiers for Jacob Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346534393 | NPI | - | NPPES |
BBH-LMFT-LIC-12233 | Medicaid | MT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | BBH-LMFT-LIC-12233 (Montana) | 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. Jacob 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 |
Jacob Sparks, LMFT 77 Trails End Rd, Eureka, MT 59917-9332 Ph: (801) 643-4846 | Jacob Sparks, LMFT 77 Trails End Rd, Eureka, MT 59917 Ph: (801) 643-4846 |
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