Spark Relational Counseling, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPARK RELATIONAL COUNSELING, LLC

Practice address

4804 NW Bethany Blvd, I-2,
#424
Portland, OR 97229

Phone

(503) 850-8484

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Yiding Han, LMFTNPI 1891341541

Title

Founder

Phone

(503) 850-8484

Specialties & licenses 1

Addresses

Other names 1

• Spark Relational Counseling Other name

Locations

Practitioners 1

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

• Yiding Han, LMFT

  • Marriage & Family Therapist
  • Beaverton, OR
  • NPI 1891341541
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1730940941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 NW BETHANY BLVD, I-2,",
            "address_2": "#424",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-850-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 NW BETHANY BLVD, I-2,",
            "address_2": "#424",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-850-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK RELATIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "YIDING",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "503-850-8484",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Relational Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Nicole Spangler, LMT
• Judy Elizabeth Spaniol Turner, PT
• Anna Gabriele Gregory Spann, RN, CNM, NP
• Stephanie Spann, MSW
• Spark Behavioral Health LLC
• John Philip Allen Sparkenbach
• Sparking Hope LLC
• Young Sparkman
• Sparks Chiropractic LLC
• Brian Keith Sparks, MD

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.