Spark Versatility Collective LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SPARK VERSATILITY COLLECTIVE LLC

Practice address

1930 Marlton Pike E Ste H41
Cherry Hill, NJ 08003-2153

Phone

(347) 815-5866

NPI assigned

Mar 19, 2026

Organization subpart

No

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

Authorized official

Name

Pauline David, LPCNPI 1447965520

Title

Mental Health Clinician

Phone

(347) 815-5866

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pauline David, LPC

  • Professional Counselor
  • South Plainfield, NJ
  • NPI 1447965520

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1346198918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE H41",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE H41",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032153",
            "telephone_number": "347-815-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK VERSATILITY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "347-815-5866",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Marissa Spaeth
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• John R Spagnola, DMD
• Kerry Spagnoli
• Theresa A Spalla, D.P.T.
• Jennifer Spears, MA
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• Specialized Physical Therapy, LLC

• Mental Health Counselor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.