Healthcare Provider Details

I. General information

NPI: 1144410788
Provider Name (Legal Business Name): SPARROW S MEYER MC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 VAN DORN ST
LINCOLN NE
68506-6801
US

IV. Provider business mailing address

1714 ELK ST
BEATRICE NE
68310-3229
US

V. Phone/Fax

Practice location:
  • Phone: 402-239-2595
  • Fax: 303-797-9342
Mailing address:
  • Phone: 531-739-2109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4483
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: