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SOUL SPARK THERAPY & COACHING LLC
NPI 1710794359
Counselor in Jackson, MI

Active since December 17, 2024
915 AIRPORT RD, JACKSON, MI 49202(517) 798-6237 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soul Spark Therapy & Coaching Llc NPPES

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

SOUL SPARK THERAPY & COACHING LLC (NPI 1710794359) is a healthcare organization registered as a counselor in Jackson, Michigan and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Jackson and lists Mary Beth Houpt, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1710794359
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameSOUL SPARK THERAPY & COACHING LLC
Location Address915 AIRPORT RDJackson, MI 49202-1872
Mailing AddressPo Box 10Mason, MI 48854-0010
Phone(517) 798-6237
Organization SubpartNo
Authorized OfficialMary Beth HouptCredentialing · (517) 676-9797
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1710794359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
915 AIRPORT RD, Jackson, MI 49202
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Secondary Practice Location 1

Location 14830 Sequoia DrJackson, MI 49201-8938 · Phone (517) 798-6237

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA SUE EDINGER LMSW, ACSW
Social Worker (Clinical)
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (517) 937-5570
ERIC MIKELAIT LMSW
Social Worker
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (517) 740-6239
TERRI SCHEMPF LMSW
Social Worker
915 AIRPORT RD, STE 2
JACKSON, MI 49202
Jackson County (260) 638-8293
MS. CAITLIN M YANAKEFF BSW, LMSW
Social Worker
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (517) 206-3016
TARGETED NEUROFEEDBACK AND PSYCHOTHERAPY SERVICES, PLLC
Social Worker (Clinical)
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (517) 740-6239
ELIZABETH E FLEMING M.A. L.L.P.C.
Counselor (Professional)
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (248) 390-5933
CAITLIN YANAKEFF LMSW LLC
Social Worker
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (517) 206-3016
SHARLA ERBE LMSW
Social Worker
915 AIRPORT RD
JACKSON, MI 49202
Jackson County (517) 499-2976

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 Soul Spark Therapy & Coaching LLC's NPI number?

The NPI number for Soul Spark Therapy & Coaching LLC is 1710794359. It was assigned to this organization in the NPPES registry on December 17, 2024.

Where is Soul Spark Therapy & Coaching LLC located?

Soul Spark Therapy & Coaching LLC is located at 915 Airport Rd, Jackson, MI 49202. The listed phone number is (517) 798-6237.

What is Soul Spark Therapy & Coaching LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Soul Spark Therapy & Coaching LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.