CRYSTAL SPARKS LICDC-CS, LSW
NPI 1821494469
Counselor - Addiction (Substance Use Disorder) in Toledo, OH

Active since November 10, 2014
1012 WAVERLY AVE, TOLEDO, OH 43607(419) 822-6478 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Sparks Licdc-cs, Lsw NPPES

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

CRYSTAL SPARKS LICDC-CS, LSW (NPI 1821494469) is an individual addiction (substance use disorder) provider in Toledo, Ohio, licensed in Ohio (954159) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1821494469
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL SPARKSCredential: LICDC-CS, LSW
Location Address1012 WAVERLY AVEToledo, OH 43607-3736
Mailing Address1012 Waverly AveToledo, OH 43607-3736 · (419) 531-6970
Sole ProprietorYes
Enumeration DateNovember 10, 2014
NPI 1821494469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · 954159
Also ListedSocial WorkerTaxonomy 104100000X · License S 0012385 (OH)
1012 WAVERLY AVE, Toledo, OH 43607

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 Crystal Sparks's NPI number?

The NPI number for Crystal Sparks is 1821494469. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Crystal Sparks located?

Crystal Sparks practices at 1012 Waverly Ave, Toledo, OH 43607. The listed phone number is (419) 822-6478.

What is Crystal Sparks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Sparks was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.