SPARKALENA CRYSTAL BOOSE LLPC
NPI 1104679125
Counselor - Professional in Saginaw, MI

Active since April 09, 2024
3253 CONGRESS AVE, SAGINAW, MI 48602(989) 475-4171(989) 393-6021 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2024, Apr 9, 2024 (2 updates tracked since 2024).

About Sparkalena Crystal Boose Llpc NPPES

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

SPARKALENA CRYSTAL BOOSE LLPC (NPI 1104679125) is an individual professional provider in Saginaw, Michigan, licensed in Michigan (6451023496) and active in the NPI registry since April 2024. She maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1104679125
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSPARKALENA CRYSTAL BOOSECredential: LLPC
Location Address3253 CONGRESS AVESaginaw, MI 48602-3106
Mailing Address3253 Congress AveSaginaw, MI 48602-3106 · (989) 475-4171
Fax(989) 393-6021
Sole ProprietorNo
Enumeration DateApril 9, 2024
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1104679125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451023496
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6451023496 (MI)
3253 CONGRESS AVE, Saginaw, MI 48602

Secondary Practice Location 1

Location 1500 Hancock StSaginaw, MI 48602-4224 · Phone (989) 272-7315 ext. 7259

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.

Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Counselor (Mental Health)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker
3253 CONGRESS AVE
SAGINAW, MI 48602
Community/Behavioral Health
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602
Social Worker (Clinical)
3253 CONGRESS AVE
SAGINAW, MI 48602

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 Sparkalena Boose's NPI number?

The NPI number for Sparkalena Boose is 1104679125. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Sparkalena Boose located?

Sparkalena Boose practices at 3253 Congress Ave, Saginaw, MI 48602. The listed phone number is (989) 475-4171.

What is Sparkalena Boose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Sparkalena Boose was last updated on December 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.