JENNIFER MICHELLE SPARKS
NPI 1407176944
Counselor - Mental Health in Costa Mesa, CA

Q: What is Jennifer Sparks's NPI number?

The NPI number for Jennifer Sparks is 1407176944. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Q: What is Jennifer Sparks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Sparks was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 07, 2010

611 SHASTA LANE, SUITE 100, COSTA MESA, CA 92626(714) 803-9181 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jennifer Michelle Sparks NPPES

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

JENNIFER MICHELLE SPARKS (NPI 1407176944) is an individual mental health provider in Costa Mesa, California and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1407176944

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER MICHELLE SPARKS

Location Address611 SHASTA LANE, SUITE 100Costa Mesa, CA 92626

Mailing Address611 Shasta Lane, Suite 100Costa Mesa, CA 92626 · (714) 803-9181

Phone(714) 803-9181

Sole ProprietorNo

Enumeration DateJune 7, 2010

Last NPPES UpdateJune 14, 2011

✔ NPI 1407176944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

611 SHASTA LANE, Costa Mesa, CA 92626

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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 Jennifer Sparks's NPI number?

The NPI number for Jennifer Sparks is 1407176944. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Jennifer Sparks located?

Jennifer Sparks practices at 611 Shasta Lane Suite 100, Costa Mesa, CA 92626. The listed phone number is (714) 803-9181.

What is Jennifer Sparks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Sparks was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.