Sparks Healing Group

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Legal business name

SPARKS HEALING GROUP

Practice address

104 Church LN Ste 120
Pikesville, MD 21208-3786

Phone

(410) 709-8072

Fax

(410) 559-6510

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Bitalo Isaac

Title

Ceo/Founder

Phone

(443) 712-6672

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.

• Miesha Rice, MSW, LCSW-C

  • Clinical Social Worker
  • Pikesville, MD
  • NPI 1598204620
  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1740068782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 120",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786",
            "telephone_number": "410-709-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 120",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786",
            "telephone_number": "410-709-8072",
            "fax_number": "410-559-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS HEALING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "BITALO",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "443-712-6672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay Soodan, M.D.
• Migdalia Sorto de Cantarero
• Minkailou Soumah
• Adriana Fatima Southard
• Cara Sparger
• Carol-Anne Marie Sparks
• Cynthia Lynn Sparks, RNC
• Sanaa Winter Sparrow
• Arlene Speares
• Nikki Spears

• Rehabilitation Counselor in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Rehabilitation Counselor in Maryland

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