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JARED SPARKS
NPI 1053974923
Counselor in Canton, OH

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
624 MARKET AVE N, CANTON, OH 44702(330) 493-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2021, Apr 17, 2019 (2 updates tracked since 2019).

About Jared Sparks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED SPARKS (NPI 1053974923) is an individual counselor in Canton, Ohio and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053974923
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJARED SPARKS
Location Address624 MARKET AVE NCanton, OH 44702-1017
Mailing Address624 Market Ave NCanton, OH 44702-1017 · (330) 493-4553 · Fax (330) 493-3761
Phone(330) 493-4553
Fax(330) 493-3761
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 17, 2019
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1053974923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
624 MARKET AVE N, Canton, OH 44702
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Sparks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42735888
PECOS Enrollment IDI20250415001236
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jared Sparks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleveland Sex & Intimacy Counseling
50 mi
Clinical
3500 LORAIN AVE STE 301
Cleveland, OH 44113
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
NPI 1982203246 (216) 250-1607

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA ANN CASEY
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
BRENDAN ROWE LPCC
Counselor (Professional)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
LAURA MEGAN ELLIOTT-HECKAMAN B.A.
Case Manager/Care Coordinator
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
DAMONTA MCCLENDON
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
MARK WOODS
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066
DEBORAH F VAUGHAN LPC
Counselor (Mental Health)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
TERRI HUDSON
Social Worker
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
SUSAN STROUP LISW
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Sparks's NPI number?

The NPI number for Jared Sparks is 1053974923. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Jared Sparks located?

Jared Sparks practices at 624 Market Ave N, Canton, OH 44702. The listed phone number is (330) 493-4553.

What is Jared Sparks's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jared Sparks enrolled in Medicare?

Yes. Jared Sparks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jared Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Sparks reassigns Medicare benefits to Cleveland Sex & Intimacy Counseling (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Jared Sparks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Sparks was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.