1. Home
  2. Directory
  3. Kentucky
  4. Buckner
  5. Counselor
  6. NPI Profile

SCOTTYE SPARKS LPCC
NPI 1447633839
Counselor - Professional in Buckner, KY

Active since July 02, 2015PECOS Enrolled
4414 OLD LAGRANGE RD, BUCKNER, KY 40010(502) 222-2389(502) 222-2927 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Mar 1, 2023 (2 updates tracked since 2023).

About Scottye Sparks Lpcc NPPES

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

SCOTTYE SPARKS LPCC (NPI 1447633839) is an individual professional provider in Buckner, Kentucky, licensed in Kentucky (281849) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447633839
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSCOTTYE SPARKSCredential: LPCC
Location Address4414 OLD LAGRANGE RDBuckner, KY 40010-9547
Mailing AddressPo Box 1484Crestwood, KY 40014-1484 · (502) 222-2389 · Fax (502) 222-2927
Phone(502) 222-2389
Fax(502) 222-2927
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2015
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1447633839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 281849
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 281849 (KY)
4414 OLD LAGRANGE RD, Buckner, KY 40010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1104 S Front AvePrestonsburg, KY 41653-1614 · Phone (606) 886-8572 · Fax (606) 886-4433
Location 2256 Main StFlorence, KY 41042-2078 · Phone (502) 222-2389 · Fax (502) 222-2927

Other Identifiers 1

Medicaid7100879980KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 (PECOS)

Scottye Sparks Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739628728
PECOS Enrollment IDI20240821005010
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 Reassignments

2

Medicare enrollment records show Scottye Sparks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prodigal Ministries, LLC
Same address
Mental Health
4414 OLD LAGRANGE RD
Buckner, KY 40010
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
NPI 1013662717 (502) 222-2389
Grow Healthcare Group PA
921 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Kentucky enrollment
  • 255 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 10

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

PRODIGAL MINISTRIES, LLC
Counselor (Mental Health)
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389
AMANDA NOONAN TCM
Case Management
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389
ASHLEY STUMP CADCA1
Counselor
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389
RODNEY FREDERICK LPCA
Counselor
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389
REBEKAH BARNETT
Case Management
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389
MICHAEL HENNEY
Counselor (Addiction (Substance Use Disorder))
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389
ALFONSO ISRAEL EL LPCC-S
Counselor (Mental Health)
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 602-0074
DEENIE PELFREY
Counselor (Addiction (Substance Use Disorder))
4414 OLD LAGRANGE RD
BUCKNER, KY 40010
Oldham County (502) 222-2389

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 Scottye Sparks's NPI number?

The NPI number for Scottye Sparks is 1447633839. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Scottye Sparks located?

Scottye Sparks practices at 4414 Old Lagrange Rd, Buckner, KY 40010. The listed phone number is (502) 222-2389.

What is Scottye Sparks's specialty?

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

Is Scottye Sparks enrolled in Medicare?

Yes. Scottye Sparks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scottye Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scottye Sparks reassigns Medicare benefits to 2 organizations: Prodigal Ministries, LLC (Buckner, KY) and Grow Healthcare Group PA (Miami, FL). Each 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 Scottye Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scottye Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Scottye 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 Scottye Sparks was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.