Sparkling Path Llc is a medicare enrolled mental health clinic (Counselor - Mental Health) in Brockway, Pennsylvania. The current practice location for Sparkling Path Llc is 1701 Bond St, Brockway, Pennsylvania. For appointments, you can reach them via phone at (814) 503-0453. The mailing address for Sparkling Path Llc is 3487 Kearney Rd, Brockway, Pennsylvania and phone number is (814) 503-0453.
Sparkling Path Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326807942. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (814) 503-0453.
Sparkling Path Llc 1701 Bond St Brockway PA 15824-1705 Ph: (814) 503-0453
NPI Details:
NPI Number
1326807942
Provider Enumeration Date
03/18/2024
Last Update Date
09/09/2025
Certification Date
09/09/2025
Medicare PECOS Information:
Medicare PECOS PAC ID
8729427349
Medicare Enrollment ID
O20240416001779
Medical Identifiers
Medical identifiers for Sparkling Path Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1326807942
NPI
-
NPPES
1194357103
Medicaid
PA
1326807942
Medicaid
PA
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
251S00000X
Community/behavioral Health
(* (Not Available))
Secondary
101YM0800X
Counselor - Mental Health
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sparkling Path Llc acts as a billing entity for following providers: