Spark Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SPARK COUNSELING, LLC

Practice address

380 Perry St Ste 260
Castle Rock, CO 80104-2487

Phone

(720) 951-0946

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Jenna Roe, LPC, RPT-SNPI 1588955603

Title

Owner/Licensed Professional Counsel

Phone

(720) 951-0946

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jenna R Roe, B.S.

  • Counselor
  • Littleton, CO
  • NPI 1588955603
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1649955394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PERRY ST STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042487",
            "telephone_number": "720-951-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 PERRY ST STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042487",
            "telephone_number": "720-951-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "720-951-0946",
        "authorized_official_credential": "LPC, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.