Active NPI
Spark Wellness, LLC
- Substance Abuse Rehabilitation Facility
- Yardley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SPARK WELLNESS, LLC
- Practice address
- 301 Oxford Valley Rd Ste 1302a
Yardley, PA 19067-7706 - Phone
- (866) 301-6055
- NPI assigned
- Jul 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonia R Horwitz, MS, LPC, CAADC, CCS
- Title
- Chief Executive Officer
- Phone
- (215) 354-7700
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
301 Oxford Valley Rd Ste 1302a
Yardley, PA 19067-7706
Mailing address
301 Oxford Valley Rd Ste 1302a
Yardley, PA 19067-7706
Phone (866) 301-6055
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2313227 | Spark Wellness LLC | Certificate of waiver | Oct 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
301 Oxford Valley Rd
Ste 1302A
Yardley, PA 19067
Phone (866) 301-6055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Holland, PA
- NPI 1013376326
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1720769607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OXFORD VALLEY RD STE 1302A",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190677706",
"telephone_number": "866-301-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OXFORD VALLEY RD STE 1302A",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190677706",
"telephone_number": "866-301-6055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARK WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-25",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "HORWITZ",
"authorized_official_first_name": "SONIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "215-354-7700",
"authorized_official_credential": "MS, LPC, CAADC, CCS"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.