Active NPI
Kathleen Sparks
- Counselor
- Mesa, AZ
National Provider Identifier
1518475706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14269
- Practice address
- 1830 S Alma School Rd
Mesa, AZ 85210-3056 - Phone
- (480) 649-3352
- NPI assigned
- Jan 22, 2018
- Last updated
- Jan 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14269 | AZ | Primary |
Addresses
Primary practice location
1830 S Alma School Rd
Mesa, AZ 85210-3056
Mailing address
1830 S Alma School Rd
Mesa, AZ 85210-3056
Phone (480) 649-3352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14269 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1518475706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852103056",
"telephone_number": "480-649-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852103056",
"telephone_number": "480-649-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "14269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.