SPARKFIT COMMUNITY INC
NPI 1417511387
Counselor - Professional in Little Rock, AR

Active since April 26, 2019
1202 MAIN ST STE 204, LITTLE ROCK, AR 72202(501) 428-3217 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Apr 26, 2019 (2 updates tracked since 2019).

About Sparkfit Community Inc NPPES

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

SPARKFIT COMMUNITY INC (NPI 1417511387) is a healthcare organization registered as a professional in Little Rock, Arkansas and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Little Rock and lists Glenn Mccracken, Owner, as its authorized official.

NPPES Registry Identity

NPI1417511387
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSPARKFIT COMMUNITY INC
Location Address1202 MAIN ST STE 204Little Rock, AR 72202-5057
Mailing Address1324b Main StLittle Rock, AR 72202-5034 · (501) 400-8682
Organization SubpartNo
Authorized OfficialGlenn MccrackenOwner · (501) 428-3217
Enumeration DateApril 26, 2019
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1417511387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedPhysical TherapistTaxonomy 225100000X
1202 MAIN ST STE 204, Little Rock, AR 72202

Secondary Practice Location 1

Location 11324B Main StLittle Rock, AR 72202-5034 · Phone (501) 400-8682

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sparkfit Community Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Sparkfit Community Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Mental Health Counselor
NPI 1114222932
1202 MAIN ST STE 204
Little Rock, AR 72202
(501) 428-3217
✔ PECOSSame address
Clinical Social Worker
NPI 1750947354
1210 WOLFE STREET
Little Rock, AR 72202
(501) 364-3889
✔ PECOS1.2 mi
Clinical Social Worker
NPI 1184782443
4301 W MARKHAM ST SLOT 568
Little Rock, AR 72205
(501) 526-8237
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Social Worker
NPI 1205483211
811 N GRANT ST SUITE 5B
Little Rock, AR 72205
(501) 300-2812
✔ PECOS4.1 mi
Clinical Social Worker
NPI 1255548459
4 EXECUTIVE CENTER CT
Little Rock, AR 72211
(501) 448-0060
✔ PECOS✔ Accepts Medicare7.5 mi
Mental Health Counselor
NPI 1972175834
2126 N 1ST ST STE F
Jacksonville, AR 72076
(501) 982-5000
✔ PECOS14 mi
Clinical Social Worker
NPI 1194400663
508 N 2ND ST
Nashville, AR 71852
(870) 455-0134
✔ PECOS105 mi

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 Sparkfit Community Inc's NPI number?

The NPI number for Sparkfit Community Inc is 1417511387. It was assigned to this organization in the NPPES registry on April 26, 2019.

Where is Sparkfit Community Inc located?

Sparkfit Community Inc is located at 1202 Main St Ste 204, Little Rock, AR 72202. The listed phone number is (501) 428-3217.

What is Sparkfit Community Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sparkfit Community Inc enrolled in Medicare?

Yes. Sparkfit Community Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sparkfit Community Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Sparkfit Community Inc. 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. The largest specialties are Clinical Social Worker (5) and Mental Health Counselor (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sparkfit Community Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sparkfit Community Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sparkfit Community Inc was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.