Sparkwell Mental Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SPARKWELL MENTAL HEALTH SERVICES LLC

Practice address

911 McIntire St
Boulder, CO 80303-2724

Phone

(901) 828-9799

NPI assigned

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Laura CallanNPI 1467161331

Title

Owner

Phone

(901) 828-9799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Laura Anne Callan

  • Psychiatric/Mental Health Nurse Practitioner
  • Billings, MT
  • NPI 1467161331

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1699464792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE UNIT E4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026746",
            "telephone_number": "720-571-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MCINTIRE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032724",
            "telephone_number": "901-828-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKWELL MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-828-9799"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spacious Soul Counseling LLC
• Alyssa Marie Spampinato, NONE
• Rye Lynne Spanton, LPCC
• Carol Spar, PSY.D.
• Spark of Serenity, LLC
• Jordan Sparrow-Antonio, MS
• Martha Spaulding, P.T.
• Andrew D Spears, M.D.
• Donald Spears, ND, MSOM, LAC
• Nancy Specian

• Psychiatric/Mental Health Nurse Practitioner in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.