Active NPI
Tina Rebecca Sparks, LMHC
- Counselor
- Rio Rancho, NM
National Provider Identifier
1649965591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CTB-2023-0074
- Practice address
- 333 Rio Rancho Blvd NE Ste 200
Rio Rancho, NM 87124-1458 - Phone
- (505) 814-1460
- NPI assigned
- Apr 6, 2023
- 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 | CTB-2023-0074 | NM | Primary |
Addresses
Primary practice location
333 Rio Rancho Blvd NE Ste 200
Rio Rancho, NM 87124-1458
Mailing address
206 Santa Elena Rd SE
Rio Rancho, NM 87124-1307
Phone (314) 276-8728
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 |
|---|---|---|---|
| CTB-2023-0074 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1649965591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SANTA ELENA RD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241307",
"telephone_number": "314-276-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 RIO RANCHO BLVD NE STE 200",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241458",
"telephone_number": "505-814-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "TINA",
"middle_name": "REBECCA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "CTB-2023-0074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.