Bold Spark, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BOLD SPARK, INC.

Doing business as

The Oaks Counseling Center

Practice address

820 S Bartlett Rd Ste 106B
Streamwood, IL 60107-2407

Phone

(224) 318-7554

NPI assigned

Jan 24, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BOLD SPARK, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen V. LieboldNPI 1245414465

Title

Owner

Phone

(630) 329-6709

Specialties & licenses 1

Addresses

Other names 1

• The Oaks Counseling Center Doing business as

Part of

Bold Spark Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Liebold, M.A., L.C.P.C.

  • Professional Counselor
  • Streamwood, IL
  • NPI 1245414465
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1043072218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 GINGERBROOK LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034624",
            "telephone_number": "630-329-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BARTLETT RD STE 106B",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072407",
            "telephone_number": "224-318-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD SPARK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOLD SPARK, INC.",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "LIEBOLD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-329-6709"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BHC Streamwood Hospital Inc. (Streamwood Behavioral Health Center)
• Biobloom Diagnostics LLC
• Agnieszka Wanda Bis, COTA/ L
• Mallory Bizeau
• Eric W Bohl, DDS
• Magdalena Borek
• Ralph Burgos, BSN RN
• Patricia Bustamante
• Caring for All
• Melanie Carter

• Mental Health Clinic/Center (Including Community Mental Health Center) in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.