SCOTTYE SPARKS (LPCC) – Professional Counselor, NPI 1447633839

Professional Counselor

SCOTTYE SPARKS (LPCC) is a healthcare provider. based in Ashland, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 281849 (KY). The NPI Number for SCOTTYE SPARKS (LPCC) is 1447633839

Main info

Male

7 Years Of Experience

Name

SCOTTYE SPARKS (LPCC)

NPI

1447633839

Phone

(606) 329-8588

Address

PO BOX 790

Enumeration Date

2 July 2015

Last Update Date

12 September 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5022222389

Graduation Year

2019 (7 years ago)

PAC ID

9739628728

Group Practice PAC ID

2860840493

Professional Enrollment ID

I20240821005010

Address ID

KY400109547BU4414XRDXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:10State licenses:1Digital endpointsOther names

862 MENTAL HEALTH COUNSELOR in KY

Provider Addresses for SCOTTYE SPARKS (LPCC)

PO BOX 790
ASHLAND, KY 411050790
Phone: (606) 329-8588
Fax: (606) 329-8195
Type: Mailing
321 E MAIN ST
MOREHEAD, KY 403511671
Phone: (606) 784-4161
Type: Location
104 S Front Ave
Prestonsburg, KY 416531614
Phone: (606) 886-8572
Fax: (606) 886-4433
Type: Location
256 Main St
Florence, KY 410422078
Phone: (502) 222-2389
Fax: (502) 222-2927
Type: Location
PO BOX 1484
CRESTWOOD, KY 400141484
Phone: (502) 222-2389
Fax: (502) 222-2927
Type: Mailing
4414 OLD LAGRANGE RD
BUCKNER, KY 400109547
Phone: (502) 222-2389
Fax: (502) 222-2927
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240821005010	I	Mental Health Counselor	KY	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41105)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2860840493View full group profile