Sparkfit Community Inc - Medicare in Little Rock, AR

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Sparkfit Community Inc is a medicare enrolled "Counselor - Professional" provider in Little Rock, Arkansas. Their current practice location is 1202 Main St Ste 204, Little Rock, Arkansas. You can reach out to their office (for appointments etc.) via phone at (501) 428-3217.

Sparkfit Community Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sparkfit Community Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417511387.

Contact Information

Sparkfit Community Inc
1202 Main St Ste 204,
Little Rock, AR 72202-5057
(501) 428-3217
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSparkfit Community Inc
TypeFacility
SpecialityCounselor - Professional
Location1202 Main St Ste 204, Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417511387
  • Provider Enumeration Date: 04/26/2019
  • Last Update Date: 08/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961933205
  • Enrollment ID: O20240927000795

Medical Identifiers

Medical identifiers for Sparkfit Community Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417511387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (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. Sparkfit Community Inc acts as a billing entity for following providers:
Provider NameJean Doss
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184782443
PECOS PAC ID: 6800885948
Enrollment ID: I20080923000846
Provider NameJennifer Rose Patterson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255548459
PECOS PAC ID: 2062744766
Enrollment ID: I20191030001250
Provider NameHeather Allen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205483211
PECOS PAC ID: 7416362173
Enrollment ID: I20210211000219
Provider NameJessica Leigh Soule
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750947354
PECOS PAC ID: 9638575038
Enrollment ID: I20210910000583
Provider NameVanessa Hardage
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194400663
PECOS PAC ID: 2961855838
Enrollment ID: I20240126001635
Provider NameElizabeth A Fowler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1972175834
PECOS PAC ID: 7719422070
Enrollment ID: I20240710003811
Provider NameGlenn Mccracken
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114222932
PECOS PAC ID: 3870024110
Enrollment ID: I20240927000877
Provider NameMary Catherine Yates Davison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356996540
PECOS PAC ID: 2567994767
Enrollment ID: I20241012000415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sparkfit Community Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sparkfit Community Inc
1324b Main St,
Little Rock, AR 72202-5034

Ph: (501) 400-8682		Sparkfit Community Inc
1202 Main St Ste 204,
Little Rock, AR 72202-5057

Ph: (501) 428-3217

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.