SPARKS OF LIGHT PSYCHOTHERAPY, PLLC
NPI 1477360600
Counselor - Professional in Pueblo, CO

Active since December 11, 2024
123 HARVARD AVE, PUEBLO, CO 81004(918) 658-8352 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Dec 11, 2024 (2 updates tracked since 2024).

About Sparks Of Light Psychotherapy, Pllc NPPES

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

SPARKS OF LIGHT PSYCHOTHERAPY, PLLC (NPI 1477360600) is a healthcare organization registered as a professional in Pueblo, Colorado and active in the NPI registry since December 2024. The organization lists Paitton Nicole Kendrick Callery, Owner/solo Practitioner, as its authorized official.

NPPES Registry Identity

NPI1477360600
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSPARKS OF LIGHT PSYCHOTHERAPY, PLLC
Location Address123 HARVARD AVEPueblo, CO 81004-1223
Mailing Address123 Harvard AvePueblo, CO 81004-1223 · (918) 658-8352
Organization SubpartNo
Authorized OfficialPaitton Nicole Kendrick CalleryOwner/solo Practitioner · (918) 658-8352
Enumeration DateDecember 11, 2024
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1477360600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
123 HARVARD AVE, Pueblo, CO 81004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor
123 HARVARD AVE
PUEBLO, CO 81004

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 Sparks Of Light Psychotherapy, PLLC's NPI number?

The NPI number for Sparks Of Light Psychotherapy, PLLC is 1477360600. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Sparks Of Light Psychotherapy, PLLC located?

Sparks Of Light Psychotherapy, PLLC is located at 123 Harvard Ave, Pueblo, CO 81004. The listed phone number is (918) 658-8352.

What is Sparks Of Light Psychotherapy, PLLC'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 Sparks Of Light Psychotherapy, PLLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.