Organization Active NPI

Inner Spark Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1588580898
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNER SPARK MENTAL HEALTH LLC
Practice address
26 Watchtower Dr
Ormond Beach, FL 32176-2886
Phone
(386) 588-5668
Fax
(386) 200-4156
NPI assigned
Jun 29, 2026
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Carla Hill, APRN, PMHNP-BCNPI 1740024579
Title
Owner, Ceo
Phone
(386) 588-5668

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

26 Watchtower Dr
Ormond Beach, FL 32176-2886

Mailing address

26 Watchtower Dr
Ormond Beach, FL 32176-2886
Phone (386) 588-5668

National Provider Directory

National Provider Directory

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": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1588580898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WATCHTOWER DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321762886",
            "telephone_number": "386-588-5668",
            "fax_number": "386-200-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WATCHTOWER DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321762886",
            "telephone_number": "386-588-5668",
            "fax_number": "386-200-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SPARK MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "386-588-5668",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.