SPARK COUNSELING LLC
NPI 1508582586
Counselor - Mental Health in Los Ranchos, NM
About Spark Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPARK COUNSELING LLC (NPI 1508582586) is a healthcare organization registered as a mental health in Los Ranchos, New Mexico and active in the NPI registry since October 2022. The organization lists Marisa Mancini Rothrock, Business Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 Counseling 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 Counseling LLC, 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 Counseling LLC's NPI number?
The NPI number for Spark Counseling LLC is 1508582586. It was assigned to this organization in the NPPES registry on October 12, 2022.
Where is Spark Counseling LLC located?
Spark Counseling LLC is located at 6303 4th St NW Ste 1, Los Ranchos, NM 87107. The listed phone number is (505) 234-6166.
What is Spark Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Spark Counseling LLC enrolled in Medicare?
Yes. Spark Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spark Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Spark Counseling 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 Counseling LLC was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Counseling Llc · NPI 1508582586
Mental Health organization in Los Ranchos, New Mexico. Organization record, active in the CMS NPPES registry since October 12, 2022.
## Identity
- **NPI:** 1508582586 (Entity type: Organization)
- **Enumerated:** October 12, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Spark Counseling LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Marisa Rothrock, BUSINESS OWNER
## Practice location
- **Address:** 6303 4TH ST NW STE 1, Los Ranchos, NM 87107-5855
- **Phone:** (505) 234-6166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508582586) · Data from the CMS NPPES public registry.