JARED SPARKS
NPI 1053974923
Counselor in Canton, OH

Q: 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.

Q: What is Jared Sparks's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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