Organization Active NPI

Spark LLC

  • Community Health Clinic/Center
  • Lawrenceburg, IN
National Provider Identifier
1285402479
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SPARK LLC
Practice address
323 Walnut St Ste a
Lawrenceburg, IN 47025-1841
Phone
(419) 233-3061
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Kara J Goode, MSW, LSWNPI 1639947823
Title
Social Worker/Owner
Phone
(419) 233-3061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

323 Walnut St Ste a
Lawrenceburg, IN 47025-1841

Mailing address

323 Walnut St Ste a
Lawrenceburg, IN 47025-1841
Phone (419) 233-3061

National Provider Directory

National Provider Directory

Locations

323 Walnut St
Ste A
Lawrenceburg, IN 47025
Phone (419) 233-3061

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1285402479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WALNUT ST STE A",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251841",
            "telephone_number": "419-233-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WALNUT ST STE A",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251841",
            "telephone_number": "419-233-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "419-233-3061",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.