SPARK WELLNESS
NPI 1366131559
Counselor - Mental Health in Severna Park, MD
About Spark Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPARK WELLNESS (NPI 1366131559) is a healthcare organization registered as a mental health in Severna Park, Maryland and active in the NPI registry since May 2023. The organization lists Stephanie Hibbard, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Wellness 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 Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Wellness's NPI number?
The NPI number for Spark Wellness is 1366131559. It was assigned to this organization in the NPPES registry on May 3, 2023.
Where is Spark Wellness located?
Spark Wellness is located at 692B Ritchie Hwy Ste 101, Severna Park, MD 21146. The listed phone number is (410) 245-2199.
What is Spark Wellness's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Spark Wellness enrolled in Medicare?
Yes. Spark Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spark Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Spark Wellness. 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 Wellness was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Spark Wellness · NPI 1366131559
Mental Health organization in Severna Park, Maryland. Organization record, active in the CMS NPPES registry since May 3, 2023.
## Identity
- **NPI:** 1366131559 (Entity type: Organization)
- **Enumerated:** May 3, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Stephanie Hibbard, PARTNER
## Practice location
- **Address:** 692B RITCHIE HWY STE 101, Severna Park, MD 21146-3938
- **Phone:** (410) 245-2199
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366131559) · Data from the CMS NPPES public registry.