CLAYTON SPARKS (NPI# 1225494420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225494420 |
| Entity Type | Individual |
| Full Name | CLAYTON SPARKS |
| Credential | LMHC, LCAC |
| Practice Address |
5470 E 16th St Indianapolis IN 46218-4861 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176215700 |
| Practice Fax Number | 3176215991 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
86000122A | IN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39003190A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1175 Southview Dr, Martinsville, IN 461517062 | 7653426616 | 7653422169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477517936 | Clayton E Sparks | Chiropractor | 3227 Henderson Drive Ext., Jacksonville, NC 28546 | 2006-04-13 |
| Street Address |
5470 E 16TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749794 | Maria Elena Howard | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2006-04-14 |
| 1255981494 | Jodie Lynn Wilcox-grady | Counselor | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2019-09-19 |
| 1073174413 | Gary Antlept | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2019-06-26 |
| 1619415627 | Mindy A Hughett | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2017-02-09 |
| 1417313479 | Jennifer Weimer | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2016-01-06 |
| 1275876658 | Elicia Greenspan | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2013-04-03 |
| 1962722959 | Zachary Schenetzke | Counselor | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2010-06-02 |
| 1821294190 | Deborah L Hewitt | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2007-06-25 |
| 1194887141 | Shannon Gailya Abbott | Social Worker | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2006-12-15 |
| 1881774339 | Onita Washington-lackey | Counselor | 5470 E 16th St, Indianapolis, IN 46218-4861 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on CLAYTON SPARKS.
| 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.