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COTY MARIE SPARKS
NPI 1043058985
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since July 16, 2024
1750 5TH AVE, SAN DIEGO, CA 92101(619) 515-2588 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Coty Marie Sparks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COTY MARIE SPARKS (NPI 1043058985) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1538401123) and active in the NPI registry since July 2024. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1043058985
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCOTY MARIE SPARKS
Location Address1750 5TH AVESan Diego, CA 92101-2754
Mailing Address1750 5th AveSan Diego, CA 92101-2754 · (619) 515-2588
Phone(619) 515-2588
Sole ProprietorYes
Enumeration DateJuly 16, 2024
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1043058985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1538401123
1750 5TH AVE, San Diego, CA 92101
Open in Google Maps ↗

Secondary Practice Location 1

Location 1823 Gateway Center WaySan Diego, CA 92102-4541 · Phone (619) 515-2300

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LYNN DIMASI SUDRC
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
AURORA MIRANDA PEREZ SUD
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
FATIMAH SARA NADIMI LCSW
Social Worker (Clinical)
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
FAMILY HEALTH CENTERS OF SAN DIEGO INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
KRISTINA LYNN VARSHO RAC
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
MICHAEL DAVID ANTHONY CMPSS
Peer Specialist
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 255-7243
KIMBERLEY ANN COULSON RADT I
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 255-5058
LETICIA REYES RADT I
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coty Sparks's NPI number?

The NPI number for Coty Sparks is 1043058985. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Coty Sparks located?

Coty Sparks practices at 1750 5th Ave, San Diego, CA 92101. The listed phone number is (619) 515-2588.

What is Coty Sparks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Coty Sparks was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.