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KATHLEEN SPROLES LCSW
NPI 1497202238
Counselor - Mental Health in Kellogg, ID

Active since September 09, 2016PECOS EnrolledAccepts Medicare Assignment
404 W CAMERON AVE, STE 101, KELLOGG, ID 83837(208) 215-1756(208) 545-6958 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2023, Aug 12, 2019 (2 updates tracked since 2019).

About Kathleen Sproles Lcsw NPPES

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

KATHLEEN SPROLES LCSW (NPI 1497202238) is an individual mental health provider in Kellogg, Idaho, licensed in Idaho (LCSW-38419) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497202238
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN SPROLESCredential: LCSW
Location Address404 W CAMERON AVE, STE 101Kellogg, ID 83837-2111
Mailing Address404 W Cameron Ave Ste 101Kellogg, ID 83837-2111 · (208) 215-1756 · Fax (208) 545-6958
Phone(208) 215-1756
Fax(208) 545-6958
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 9, 2016
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1497202238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCSW-38419
404 W CAMERON AVE, Kellogg, ID 83837
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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

Kathleen Sproles Lcsw 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 ID9133459852
PECOS Enrollment IDI20190924000247
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

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

HUMAN DYNAMICS AND DIAGNOSTICS PLLC
Community/Behavioral Health
404 W CAMERON AVE
KELLOGG, ID 83837
Shoshone County (208) 783-2804

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 Kathleen Sproles's NPI number?

The NPI number for Kathleen Sproles is 1497202238. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Where is Kathleen Sproles located?

Kathleen Sproles practices at 404 W Cameron Ave Ste 101, Kellogg, ID 83837. The listed phone number is (208) 215-1756.

What is Kathleen Sproles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathleen Sproles enrolled in Medicare?

Yes. Kathleen Sproles 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.

When was this NPI record last updated?

The NPPES record for Kathleen Sproles was last updated on November 22, 2023. 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.