SPARKLE L NICKS
NPI 1124627005
Marriage & Family Therapist in Peoria, IL

Q: What is Sparkle Nicks's NPI number?

The NPI number for Sparkle Nicks is 1124627005. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Q: What is Sparkle Nicks's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sparkle Nicks was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 21, 2020

10508 CHURCHILL DR, PEORIA, IL 61615(309) 706-3676 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sparkle L Nicks NPPES

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

SPARKLE L NICKS (NPI 1124627005) is an individual marriage & family therapist in Peoria, Illinois and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1124627005

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSPARKLE L NICKS

Location Address10508 CHURCHILL DRPeoria, IL 61615-1178

Mailing Address2610 W Richwoods BlvdPeoria, IL 61604-7112 · (309) 323-6648

Phone(309) 706-3676

Sole ProprietorNo

Enumeration DateOctober 21, 2020

NPPES CertifiedOctober 21, 2020

✔ NPI 1124627005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

10508 CHURCHILL DR, Peoria, IL 61615

Open in Google Maps ↗

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 Sparkle Nicks's NPI number?

The NPI number for Sparkle Nicks is 1124627005. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Sparkle Nicks located?

Sparkle Nicks practices at 10508 Churchill Dr, Peoria, IL 61615. The listed phone number is (309) 706-3676.

What is Sparkle Nicks's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Sparkle Nicks was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.