Healthcare Provider Details

I. General information

NPI: 1750207197
Provider Name (Legal Business Name): SPARROW MENTAL HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 STATE FARM RD STE 507-7
BOONE NC
28607-4917
US

IV. Provider business mailing address

256 CHARLES ST
BOONE NC
28607-3418
US

V. Phone/Fax

Practice location:
  • Phone: 828-263-4358
  • Fax:
Mailing address:
  • Phone: 828-263-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JAXELI MARTINEZ-GONZALEZ
Title or Position: OWNER
Credential: LCMHCA, CRC
Phone: 828-263-4358