Organization Active NPI

Spark Counseling & Consulting LLC

  • Mental Health Counselor
  • Vestavia Hills, AL
National Provider Identifier
1467919654
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPARK COUNSELING & CONSULTING LLC
Practice address
310 Lorna SQ
Vestavia Hills, AL 35216-5479
Phone
(205) 291-8686
Fax
(205) 224-9471
NPI assigned
Feb 25, 2019
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Bre Carr
Title
Ceo/Therapist
Phone
(205) 291-8686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

310 Lorna SQ
Vestavia Hills, AL 35216-5479

Mailing address

6614 Rime VLG E
Vestavia Hills, AL 35216-6180

Other practice location 1

6614 Rime Vlg E
Vestavia Hills, AL 35216-6180
Phone (205) 291-8686

National Provider Directory

National Provider Directory

Locations

310 Lorna Sq
Hoover, AL 35216
Phone (205) 291-8686

Practitioners & affiliated clinicians

Practitioners 2

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": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1467919654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 RIME VLG E",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LORNA SQ",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165479",
            "telephone_number": "205-291-8686",
            "fax_number": "205-224-9471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6614 Rime Vlg E",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352166180",
            "country_code": "US",
            "telephone_number": "205-291-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPARK COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "BRE",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "205-291-8686"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.