SPARK PSYCHOLOGICAL SERVICES LLC
NPI 1023810074
Psychologist in Durango, CO

Active since March 27, 2025
363 VALLE ESCONDIDO DR, DURANGO, CO 81303(970) 905-5071 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2025, Mar 27, 2025 (2 updates tracked since 2025).

About Spark Psychological Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK PSYCHOLOGICAL SERVICES LLC (NPI 1023810074), doing business as Spark Psychological Services, is a healthcare organization registered as a psychologist in Durango, Colorado and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Durango and lists Jennifer Rhoda Lucchesi, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1023810074
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSPARK PSYCHOLOGICAL SERVICES LLC
Location Address363 VALLE ESCONDIDO DRDurango, CO 81303-7960
Mailing Address363 Valle Escondido DrDurango, CO 81303-7960 · (970) 903-5071
Organization SubpartNo
Authorized OfficialJennifer Rhoda LucchesiPsychologist/owner · (970) 903-5071
Enumeration DateMarch 27, 2025
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1023810074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
363 VALLE ESCONDIDO DR, Durango, CO 81303

Other Names 1

Doing Business AsSpark Psychological Services

Secondary Practice Location 1

Location 12855 Main Ave Ste A103Durango, CO 81301-5959 · Phone (970) 903-5071

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spark Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spark Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1891972170
363 VALLE ESCONDIDO DR
Durango, CO 81303
(719) 331-3816
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spark Psychological Services LLC's NPI number?

The NPI number for Spark Psychological Services LLC is 1023810074. It was assigned to this organization in the NPPES registry on March 27, 2025. The provider is doing business as Spark Psychological Services.

Where is Spark Psychological Services LLC located?

Spark Psychological Services LLC is located at 363 Valle Escondido Dr, Durango, CO 81303. The listed phone number is (970) 905-5071.

What is Spark Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Spark Psychological Services LLC enrolled in Medicare?

Yes. Spark Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spark Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Spark Psychological Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spark Psychological Services LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.