RICKEY JOE SPARKS PHD NPI 1184935280

NPI Information

  • NPI: 1184935280
  • Provider Name: RICKEY JOE SPARKS, PHD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 904 W SOUTH PARK BLVD
    BROKEN ARROW, OK
    ZIP 74011
  • Phone: (918) 455-2714

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NPI Details

Rickey Joe Sparks, PHD is a mental health counselor in Broken Arrow, OK. Rickey Joe Sparks, PHD NPI is 1184935280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

904 W SOUTH PARK BLVD
BROKEN ARROW, OK
ZIP 74011-042
Phone: (918) 455-2714

The enumeration date for this NPI number is 6/23/2010 and was last updated on 6/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)391OKLAHOMANo
2101YM0800XCounselorMental Health1588OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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