Organization Active NPI

Spark Wellness & Recovery LLC

  • Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1669343067
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPARK WELLNESS & RECOVERY LLC
Practice address
6625 Founders Pkwy
Brooklyn Park, MN 55445-1666
Phone
(612) 245-0436
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Najib IsseNPI 1225831357
Title
Owner
Phone
(612) 245-0436

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6625 Founders Pkwy
Brooklyn Park, MN 55445-1666

Mailing address

6625 Founders Pkwy
Brooklyn Park, MN 55445-1666

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.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1669343067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 FOUNDERS PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 FOUNDERS PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451666",
            "telephone_number": "612-245-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK WELLNESS & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "NAJIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-245-0436"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.