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TAYLOR SPARKS MA, R-DMT
NPI 1801788120
Counselor - Professional in Philadelphia, PA

Active since July 21, 2025
4931 WISSAHICKON AVE FL 3, PHILADELPHIA, PA 19144(215) 261-5395 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taylor Sparks Ma, R-dmt NPPES

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

TAYLOR SPARKS MA, R-DMT (NPI 1801788120) is an individual professional provider in Philadelphia, Pennsylvania and active in the NPI registry since July 2025. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1801788120
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAYLOR SPARKSCredential: MA, R-DMT
Location Address4931 WISSAHICKON AVE FL 3Philadelphia, PA 19144-4800
Mailing Address1330 S Patton St Apt 409Philadelphia, PA 19146-3453
Phone(215) 261-5395
Sole ProprietorYes
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1801788120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedDance TherapistTaxonomy 225600000X
4931 WISSAHICKON AVE FL 3, Philadelphia, PA 19144
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Secondary Practice Location 1

Location 11330 S Patton St Apt 409Philadelphia, PA 19146-3453 · Phone (757) 779-1036

Other Providers at the Same Location NPPES 3

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

ANDREA LANGFORD SNYDER LCSW
Social Worker (Clinical)
4931 WISSAHICKON AVE FL 3
PHILADELPHIA, PA 19144
Philadelphia County (215) 259-8118
AS THERAPY LLC
Clinic/Center (Adolescent and Children Mental Health)
4931 WISSAHICKON AVE FL 3
PHILADELPHIA, PA 19144
Philadelphia County (215) 529-8118
TANIESA L. GOODMAN
Counselor
4931 WISSAHICKON AVE FL 3
PHILADELPHIA, PA 19144
Philadelphia County (215) 385-5122

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 Taylor Sparks's NPI number?

The NPI number for Taylor Sparks is 1801788120. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Taylor Sparks located?

Taylor Sparks practices at 4931 Wissahickon Ave Fl 3, Philadelphia, PA 19144. The listed phone number is (215) 261-5395.

What is Taylor 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 Taylor Sparks was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.