NPIMap

Organization Active NPI

Sparks Counseling & Wellness, LLC

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1679164966
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPARKS COUNSELING & WELLNESS, LLC
Practice address
328 Windlesham Dr
Chesapeake, VA 23322-3613
Phone
(757) 301-1076
NPI assigned
Jan 29, 2021
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kendall Sparks, PH.D, LPCNPI 1194131607
Title
Owner/Manager
Phone
(757) 301-1076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

328 Windlesham Dr
Chesapeake, VA 23322-3613

Mailing address

328 Windlesham Dr
Chesapeake, VA 23322-3613
Phone (757) 301-1076

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krsparks@sparkscounselingandwellness.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1679164966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WINDLESHAM DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223613",
            "telephone_number": "757-301-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WINDLESHAM DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223613",
            "telephone_number": "757-301-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "757-301-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krsparks@sparkscounselingandwellness.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "328 Windlesham Dr",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233223613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.