SPARK (NPI# 1528429917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528429917 |
| Entity Type | Organization |
| Organization Name | SPARK |
| Practice Address |
903 S 9th Street Laramie WY 82070 |
| Practice Telephone | 3073992880 |
| Mailing Telephone | 3073992880 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | GINA SIGEL (OWNER) |
| Authorized Official Telephone | 3073992880 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC-1074 | WY | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Spark | 306 Rosalie Drive, Durango, CO 81301 |
| Oregon Corporations, Companies and Business Names | SPARK | 2814 19th St Se, Salem, OR 97302 |
| System for Award Management (SAM) Entities | SPARK | 2 Ram Ct, Fairview Heights, IL 62208-2600 |
| Indiana Business Entities | SPARK & CELEBRATE | 2654 Chaseway Court, Indianapolis, IN 46268 |
| Colorado Business Entities | Spark & Ember LLC | 617 Johnson Avenue, Louisville, CO 80027 |
| Oregon Corporations, Companies and Business Names | SPARK & FIZZ LLC | 26b Ne 76th Ave, Portland, OR 97213 |
| Oregon Corporations, Companies and Business Names | SPARK & INSPIRE STUDIO LLC | 2846 Se Holgate Blvd, Portland, OR 97202 |
| Washington State Corporations | SPARK & MCGILL, LLC | 1330 S 2nd St, Suite B, Mount Vernon, WA 98273 |
| Oregon Corporations, Companies and Business Names | SPARK 'DO LOUNGE | 1917 17th Ave, Forest Grove Or, Forest Grove, OR 97116 |
| Colorado Business Entities | Spark (ABC), LLC | 231 Market Place, Suite 373, San Ramon, CA 94583 |
| Street Address |
903 S 9TH STREET |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| 1811103583 | Thomas Mcgarvey | Dentist | 303 S. 8th St., Laramie, WY 82070 | 2007-05-16 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669911657 | Cassandra Brock | Community/Behavioral Health | 320 Corthell Rd, Laramie, WY 82070-4830 | 2017-02-23 |
| 1083060008 | Meghan Corcoran Counseling | Community/Behavioral Health | 920 E. Sheridan St Suite B, Laramie, WY 82070-3868 | 2016-05-09 |
| 1346621067 | Laurie Westlake | Community/Behavioral Health | 2723 Leslie Ct, Laramie, WY 82072-2979 | 2015-06-18 |
| 1821655275 | Betty Kessner | Community/Behavioral Health | 502 S 4th St, Laramie, WY 82070-3704 | 2019-05-21 |
| 1366981912 | Amber G. Sankey, LLC | Community/Behavioral Health | 2020 E Grand Ave, Suite 422, Laramie, WY 82070-4383 | 2017-02-15 |
| 1023302106 | Pendley and Associates | Community/Behavioral Health | 1277 N 15th St, Laramie, WY 82072-2343 | 2011-06-06 |
| 1821206129 | Alpenglow Wellness, Inc. | Community/Behavioral Health | 121 E Grand Ave, Suite 216, Laramie, WY 82070-3600 | 2007-05-18 |
| 1033206289 | Cathedral Home for Children | Community/Behavioral Health | 4989 N 3rd St, Laramie, WY 82072-9548 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1922625144 | Krystal Dawn Foy | Community/Behavioral Health | 6811 Troyer Dr, Cheyenne, WY 82007-9222 | 2020-07-03 |
| 1851914394 | Amanda Mccommon | Community/Behavioral Health | 2119 E 18th St, Cheyenne, WY 82001-5023 | 2020-05-19 |
| 1801418330 | Mary Ann Romine | Community/Behavioral Health | 166 Morrissey Rd, Newcastle, WY 82701-9400 | 2020-05-06 |
| 1235750902 | Hanah Jay Castellaw | Community/Behavioral Health | 2602 E E St Spc 8, Torrington, WY 82240-2101 | 2020-05-04 |
| 1700414547 | Dede L Sievers | Community/Behavioral Health | 2723 W Renauna Ave, Casper, WY 82601-9691 | 2020-03-28 |
| 1265076285 | Kyle Walker | Community/Behavioral Health | 808 Campbell Dr, Torrington, WY 82240-3403 | 2019-11-01 |
| 1053954735 | Jenny Lara Marsden | Community/Behavioral Health | 806 Campbell Dr, Torrington, WY 82240-3403 | 2019-10-24 |
| 1831742196 | Susan Ann Davis | Community/Behavioral Health | 362 Patton Ave, Cheyenne, WY 82007-1183 | 2019-07-16 |
| 1093276545 | Andy Edwards | Community/Behavioral Health | 7003 Tumbleweed Dr Apt D, Cheyenne, WY 82009-1037 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.