MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) – Mental Health Counselor, NPI 1467426684

MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) is a healthcare provider. based in Port angeles, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC NCC RN. They hold a License No. LH00004713 (WA). The NPI Number for MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) is 1467426684

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)
NPI
1467426684
Phone
(360) 457-5414
Address
2882 MONROE RD
Enumeration Date
14 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604575414
Graduation Year
1990 (36 years ago)
PAC ID
7113362831
Professional Enrollment ID
I20240304001596
Address ID
WA983828017SE60XXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)

  • 2882 MONROE RD

    PORT ANGELES, WA 98362

    Phone: (360) 457-5414

    Fax: (360) 457-9505

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-03-04

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240304001596IMental Health CounselorWATBD

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 98362)

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Reviews

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Frequently asked questions

What is the standard ID for MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) in the U.S.?
In the U.S., MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) is identified by NPI 1467426684.
Does the public listing show MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) as active?
MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)'s NPI record reflects an active status in NPPES.
What services align with MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)'s listing?
MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)?
The directory associates MRS. SHAUN TARA SPARKMAN (LMHC NCC RN) with Port Angeles, Washington. Check all listed addresses for suites or satellite offices.
Can I export MRS. SHAUN TARA SPARKMAN (LMHC NCC RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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