Mrs Keisha Katrice Sparrow, MA, LPC in Marlton, NJ

Mrs Keisha Katrice Sparrow, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Marlton, New Jersey. Her current practice location is 222 Shady Ln, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 678-6636.

Mrs Keisha Katrice Sparrow is licensed to practice in New Jersey (license number 37PC00371200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033436688.

Contact Information

	Mrs Keisha Katrice Sparrow, MA, LPC
	222 Shady Ln, Marlton, NJ 08053-2716
	(609) 678-6636
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Keisha Katrice Sparrow
Gender	Female
Speciality	Counselor - Professional
Location	222 Shady Ln, Marlton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033436688
Provider Enumeration Date: 04/22/2010
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5294185765
Enrollment ID: I20231224000055

Medical Identifiers

Medical identifiers for Mrs Keisha Katrice Sparrow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033436688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	37PC00371200 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Keisha Katrice Sparrow allows following entities to bill medicare on her behalf.

Entity Name	Family & Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528274776 PECOS PAC ID: 1850347147 Enrollment ID: O20050330000270

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20201026001145

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keisha Katrice Sparrow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Keisha Katrice Sparrow, MA, LPC 222 Shady Ln, Marlton, NJ 08053-2716 Ph: (609) 678-6636	Mrs Keisha Katrice Sparrow, MA, LPC 222 Shady Ln, Marlton, NJ 08053-2716 Ph: (609) 678-6636

Reviews and Comments

Counselor in Marlton, NJ

Janet E. Coyle, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11000 Lincoln Dr W, Suite 5, Marlton, NJ 08053 Phone: 856-985-4300 Fax: 856-985-4313
Jean Marie Calderone, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 773 Route 70 E Ste E100, Marlton, NJ 08053 Phone: 856-942-3700
Ms. Sharnessa Bond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Gaylord Ln, Marlton, NJ 08053 Phone: 856-983-7208
Christine M Bonaventura, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 S Maple Ave, Marlton, NJ 08053 Phone: 609-923-6328
Tara Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 N Maple Ave Apt 77, Marlton, NJ 08053 Phone: 732-982-2888 Fax: 847-859-5885
William Hughes Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Gaylord Ln, Marlton, NJ 08053 Phone: 856-983-7208

Mrs Keisha Katrice Sparrow, MA, LPC - Medicare Counselor in Marlton, NJ