JEANINE B SPARKS LPC
NPI 1104063056
Counselor - Professional in Wasilla, AK

Active since January 14, 2009
491 N KNIK ST, WASILLA, AK 99654(907) 727-8103 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanine B Sparks Lpc NPPES

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

JEANINE B SPARKS LPC (NPI 1104063056) is an individual professional provider in Wasilla, Alaska, licensed in Alaska (512) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1104063056
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJEANINE B SPARKSCredential: LPC
Location Address491 N KNIK STWasilla, AK 99654-7049
Mailing Address491 N Knik StWasilla, AK 99654-7049 · (907) 727-8103
Sole ProprietorYes
Enumeration DateJanuary 14, 2009
NPI 1104063056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AK · 512
491 N KNIK ST, Wasilla, AK 99654

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
491 N KNIK ST
WASILLA, AK 99654
Psychologist (Clinical Child & Adolescent)
491 N KNIK ST
WASILLA, AK 99654
Counselor (Professional)
491 N KNIK ST
WASILLA, AK 99654
Counselor (Professional)
491 N KNIK ST
WASILLA, AK 99654
Nurse Practitioner (Family)
491 N KNIK ST
WASILLA, AK 99654
Nurse Practitioner (Psychiatric/Mental Health)
491 N KNIK ST
WASILLA, AK 99654
Community/Behavioral Health
491 N KNIK ST
WASILLA, AK 99654
Counselor (Professional)
491 N KNIK ST
WASILLA, AK 99654

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 Jeanine Sparks's NPI number?

The NPI number for Jeanine Sparks is 1104063056. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Jeanine Sparks located?

Jeanine Sparks practices at 491 N Knik St, Wasilla, AK 99654. The listed phone number is (907) 727-8103.

What is Jeanine Sparks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jeanine Sparks was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.