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MS. KIMBERLY ELIZABETH SPARKS CDP
NPI 1043631302
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since January 03, 2014
12201 PACIFIC AVE S, TACOMA, WA 98444(253) 536-6425 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kimberly Elizabeth Sparks Cdp NPPES

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

MS. KIMBERLY ELIZABETH SPARKS CDP (NPI 1043631302) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP60097366) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1043631302
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KIMBERLY ELIZABETH SPARKSCredential: CDP
Location Address12201 PACIFIC AVE STacoma, WA 98444-5126
Mailing Address12201 Pacific Ave STacoma, WA 98444-5126 · (253) 536-6425
Phone(253) 536-6425
Sole ProprietorYes
Enumeration DateJanuary 3, 2014
Last NPPES UpdateApril 9, 2015
✔ NPI 1043631302 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 WA · CP60097366
12201 PACIFIC AVE S, Tacoma, WA 98444
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Other Names 1

Former Name (1)Kimberly Elizabeth Hansen

Other Identifiers 1

OtherCP60097366WA · Washington State Department Of Health

Other Providers at the Same Location NPPES 14

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

SUSANNAH SONG MISIASZEK LMHC, SUDP
Counselor (Mental Health)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 238-7260
JAIME JEWELL CPSS
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 444-2395
ZACHARY GRAHAM DE VAHL MONTOYA LEWIS
Counselor (Mental Health)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 378-1464
MS. DEBORAH KAYE BROWN CDP-T
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
MS. JESSICA DON MARIE VANDEWATER CO61661625
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 550-9058
ALEX DANIEL ROBERTS SUDPT
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 550-9058
MATTHEW EHLER LICSW
Social Worker (Clinical)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 617-5620
AMANDA DAWN KIDNEY
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425

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 Kimberly Sparks's NPI number?

The NPI number for Kimberly Sparks is 1043631302. It was assigned to this individual provider in the NPPES registry on January 3, 2014. The provider is also known as Kimberly Elizabeth Hansen.

Where is Kimberly Sparks located?

Kimberly Sparks practices at 12201 Pacific Ave S, Tacoma, WA 98444. The listed phone number is (253) 536-6425.

What is Kimberly 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 Kimberly Sparks was last updated on April 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.