Lifespring, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Jeffersonville, IN
NPI 1043010077 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1043010077
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LIFESPRING, INC
- Practice address
- 432 E Court Ave
Jeffersonville, IN 47130-3414 - Phone
- (812) 280-2080
- Fax
- (812) 206-1243
- NPI assigned
- Mar 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Kristie Swoboda
- Title
- Practice Management Director
- Phone
- (812) 206-1249
Owners & managing parties with NPI records 16
-
Misty Lee Kannapel Gilbert, LCSW, MSSW, CSW
Owned or controlled facilities with NPI records 12
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 34
Facilities with the same owner 12
Practitioners 65
-
Anthony Aemmer II, APRN
-
Terri Dawn Backherms, L.C.S.W.
-
Chrstina M. Beeler, LCSW
-
Leigha Bowyer Jones, APN
-
Christopher Edlin, LMHCA
-
Michelle Emmons, LCSW
-
Lindasue Farrell, LCSW
-
Jackie Fischer, LCSW
-
Steven Fitts, LCSW
-
Patrick Flaherty, LCSW
-
Sarah Gill, PMHNP
-
Meara W Grannan, LCSW
-
Paul Hartman, LCSW
-
Joseph Higgins, LCSW
-
Alan Hightower, PA
-
Eric Jaggers, MD
-
Arese F James, LCSW
-
Emily Kennedy, LSW
-
Roberta Darlene Kilburn, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Federally qualified health center certification: CCN C51089
- Legal name
- LIFESPRING, INC
- Doing business as
- LIFESPRING FORENSICS HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 2, 2025
- Last certification
- Apr 2, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 432 E Court Ave
Jeffersonville, IN 47130-3414
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Tiffany Pollock |
W-2 Managing Employee |
Mar 1, 2021 | |
| Alan Smock |
Corporate Officer |
Jun 1, 2024 | |
| Jacalyn Young |
Corporate Officer |
Jun 1, 2024 | |
| Emily Stumler |
Corporate Officer |
Jun 1, 2024 | |
| Paul Kiger |
Corporate Officer |
Jun 1, 2024 | |
| Misty L Kannapel Gilbert |
Corporate Director |
Jun 1, 2024 | |
| Nick Clark |
Corporate Director |
Jun 1, 2024 | |
| Melissa Campbell |
Corporate Officer |
Jun 1, 2024 | |
| Darnell Jackson |
Corporate Officer |
Jun 1, 2024 | |
| Lifespring, Inc |
5% Or Greater Direct Ownership Interest | Jun 1, 2024 | 100% |
| Margo Olson |
Corporate Officer |
Jun 1, 2024 | |
| Anne Beth Kenney |
Corporate Director |
Jun 1, 2024 | 100% |
| W-2 Managing Employee |
Jun 1, 2024 | 100% | |
| Wendy Broughton |
Corporate Officer |
Jun 1, 2024 | |
| Denise Eden |
Corporate Officer |
Jun 1, 2024 | |
| Rossina Sandoval Monsivais |
Corporate Officer |
Jun 1, 2024 | |
| Kenny Kavanaugh |
Corporate Officer |
Jun 1, 2024 | |
| Kristie Swoboda |
Corporate Director |
Jun 1, 2024 | |
| Ray Oppel |
Corporate Officer |
Jun 1, 2024 |
All facility ownership & control disclosures 12
| Facility | Type | Role | Since |
|---|---|---|---|
| Lifespring Community Medical Services |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Salem Community Medical Services |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2016 |
| Lifespring Adult Integrated Medical Services |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2019 |
| Lifespring, Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 1966 |
| Austin Medical Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 16, 1966 |
| New Albany Student Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Jasper Community Medical Services |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Metro Mobile Unit |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 16, 1966 |
| Dale Community Medical Services |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Lifespring Orleans Family Health |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 24, 2024 |
| Charlestown Community Medical Services |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 21, 2024 |
| Floyd Central Student Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 27, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250421001860 | IN | Part a Provider - Federally Qualified Health Center (FQHC) | 5294624508 | Practice locations: Jeffersonville, IN |
National Provider Directory
- Tax ID family
- Lifespring Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
432 E Court Ave
Jeffersonville, IN 47130-3414
Mailing address
460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 280-2080
Other names
- LifeSpring Forensics Health Services
Other providers in Jeffersonville, IN
- Marcie Lewis
- Phonesavane Lianekhammy
- Life Improvement Counseling Center LLC
- Lifespring Medical Services, Inc
- Lifespring Pharmacy
- Lifespring, Inc
- Lifespring, Inc
- Lifespring, Inc
- Lifespring, Inc
- Lifespring, Inc
All providers in Jeffersonville, IN · Federally Qualified Health Center (FQHC) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.