MR. DOUGLAS EDWARD SPROUSE MASTERS IN SOCIAL WO
NPI 1790837805
Counselor - Addiction (Substance Use Disorder) in Saint Joseph, MO

Q: What is Douglas Sprouse's NPI number?

The NPI number for Douglas Sprouse is 1790837805. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Douglas Sprouse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Sprouse was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 January 17, 2007

3805 OAKLAND AVENUE, SUITE 102F, SAINT JOSEPH, MO 64506(816) 671-9604(816) 364-2158 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Douglas Edward Sprouse Masters In Social Wo NPPES

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

MR. DOUGLAS EDWARD SPROUSE MASTERS IN SOCIAL WO (NPI 1790837805) is an individual addiction (substance use disorder) provider in Saint Joseph, Missouri, licensed in Missouri (365) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1790837805

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. DOUGLAS EDWARD SPROUSECredential: MASTERS IN SOCIAL WO

Location Address3805 OAKLAND AVENUE, SUITE 102FSaint Joseph, MO 64506

Mailing Address3805 Oakland Avenue, Suite 102fSaint Joseph, MO 64506 · (816) 671-9604 · Fax (816) 364-2158

Phone(816) 671-9604

Fax(816) 364-2158

Sole ProprietorNo

Enumeration DateJanuary 17, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1790837805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MO · 365

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 001033 (MO)

Other Identifiers 1

Other19706028Blue Cross Blue Shield

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 Douglas Sprouse's NPI number?

The NPI number for Douglas Sprouse is 1790837805. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Douglas Sprouse located?

Douglas Sprouse practices at 3805 Oakland Avenue Suite 102F, Saint Joseph, MO 64506. The listed phone number is (816) 671-9604.

What is Douglas Sprouse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Douglas Sprouse was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.