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MELISSA R SPARKS LSW
NPI 1720064769
Social Worker - Clinical in Berea, KY

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
104 LEGACY DR, BEREA, KY 40403(859) 986-2323(859) 986-7728 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa R Sparks Lsw NPPES

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

MELISSA R SPARKS LSW (NPI 1720064769) is an individual clinical provider in Berea, Kentucky, licensed in Kentucky (1592) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1720064769
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA R SPARKSCredential: LSW
Location Address104 LEGACY DRBerea, KY 40403-9594
Mailing Address1010 Main St SMc Kee, KY 40447-7089 · (606) 287-7104 · Fax (606) 287-4409
Phone(859) 986-2323
Fax(859) 986-7728
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 21, 2005
Last NPPES UpdateNovember 27, 2019
✔ NPI 1720064769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 1592
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
104 LEGACY DR, Berea, KY 40403
Open in Google Maps ↗

Other Identifiers 1

Medicaid82000373KY

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 and accepts Medicare assignment

Melissa R Sparks Lsw 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 ID9133261795
PECOS Enrollment IDI20100120000029
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 Melissa Sparks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Help Incorporated
Same address
Federally Qualified Health Center (FQHC)
104 LEGACY DR
Berea, KY 40403
  • Reassigned Medicare billing, Kentucky enrollment
  • 71 clinicians in this Medicare group
NPI 1023094695 (859) 986-2323

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMANDA CLAIRE MOBERLY DMD
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
HEALTH HELP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
COLLEEN E AMBROSE NP
Nurse Practitioner
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LAURA A CLICK LCSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
AUDREY GRACE TRUETT CSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MA JOY SANDRA BUENAFE DIONISIO M.D.
Internal Medicine
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MS. ONEIDA SUE HELTON-PECK APRN
Nurse Practitioner (Family)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
EMILY LOUISE JONES
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323

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 Melissa Sparks's NPI number?

The NPI number for Melissa Sparks is 1720064769. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Melissa Sparks located?

Melissa Sparks practices at 104 Legacy Dr, Berea, KY 40403. The listed phone number is (859) 986-2323.

What is Melissa Sparks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Sparks enrolled in Medicare?

Yes. Melissa 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 Melissa Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Sparks reassigns Medicare benefits to Health Help Incorporated (Berea, KY). 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 Melissa Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Melissa 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 Melissa Sparks was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.