Lifespark PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFESPARK PLLC

Practice address

118 Public SQ
Gallatin, TN 37066-2803

Phone

(615) 442-6229

Fax

(615) 675-0026

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jason Holland, PHDNPI 1912478108

Title

Ceo

Phone

(615) 442-6229

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Expert Psych Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Jason Holland, PH.D.

  • Clinical Psychologist
  • Gallatin, TN
  • NPI 1912478108

  Adult Development & Aging

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1396217816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PUBLIC SQ",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662803",
            "telephone_number": "615-442-6229",
            "fax_number": "615-675-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PUBLIC SQ",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662803",
            "telephone_number": "615-442-6229",
            "fax_number": "615-675-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-442-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES ORGANIZATIONAL NPI FOR MEANINGFUL LIVING LLC",
            "identifier": "1407328214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES INDIVIDUAL NPI",
            "identifier": "1912478108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expert Psych Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Leger, M.S., CCC-SLP
• Marques Legier
• Benjamin N Leven
• Sandra W. Levoy, RN
• Life Charge Chiropractic LLC
• Lifeview Healthcare, LLC
• Lifeworks Counseling Center
• Geoffrey D Lifferth, MD
• Shawn R. Lilly, LPC, MHSP
• Jill Harris Lindley, OTR/L

• Clinical Psychologist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.