MR. DOUGLAS EDWARD SPROUSE (NPI# 1790837805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837805 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS EDWARD SPROUSE |
| Credential | MASTERS IN SOCIAL WO |
| Practice Address |
3805 Oakland Avenue Suite 102f Saint Joseph MO 64506 |
| Practice Telephone | 8166719604 |
| Practice Fax Number | 8163642158 |
| Mailing Telephone | 8166719604 |
| Mailing Fax Number | 8163642158 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
365 | MO | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
001033 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 19706028 | 01 |
| Street Address |
3805 OAKLAND AVENUE SUITE 102F |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572534 | Foundation Recovery Center | Counselor | 2301 Frederick Ave Ste 6, Saint Joseph, MO 64506-2637 | 2019-01-29 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| 1891215935 | Meghan Guntz | Counselor | 3134 Niles Rd Unit C, Saint Joseph, MI 49085-8652 | 2017-06-20 |
| 1871041384 | Rebekah Jasmin Kruzel | Counselor | 3134 Niles Rd St. C, Saint Joseph, MI 49085-8652 | 2016-09-13 |
| 1497171763 | Serenity Counseling Service | Counselor | 1212 Faraon St, Saint Joseph, MO 64501-2310 | 2014-03-11 |
| 1992747828 | Rebecca Ann Robison | Counselor | 2404 Highly St, Saint Joseph, MO 64506-2729 | 2006-06-12 |
| 1710584107 | James Michael Andrews | Counselor | 4032 M 139, Saint Joseph, MI 49085-8665 | 2020-10-08 |
| 1821638495 | Peter John Sando II | Counselor | 4032 M 139, Saint Joseph, MI 49085-8665 | 2020-01-13 |
| 1760982904 | Giovanna Atterberry | Counselor | 3134 Niles Rd Unit C, Saint Joseph, MI 49085-8652 | 2018-02-14 |
| 1033597315 | Lighthouse Counseling LLP | Counselor | 521 State St, Saint Joseph, MI 49085-1369 | 2015-05-07 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
Please comment or provide details below to improve the information on MR. DOUGLAS EDWARD SPROUSE.
| 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.