SPARK CHANGE PATHWAYS LLC NPI 1851230080

NPI Information

  • NPI: 1851230080
  • Provider Name: SPARK CHANGE PATHWAYS LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 7055 ENGLE RD BLDG 6-601
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Phone: (216) 260-3363

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NPI Details

SPARK CHANGE PATHWAYS LLC is a counselor in Middleburg Heights, OH. The provider is 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. SPARK CHANGE PATHWAYS LLC NPI is 1851230080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7055 ENGLE RD BLDG 6-601
MIDDLEBURG HEIGHTS, OH
ZIP 44130-491
Phone: (216) 260-3363

The provider's authorized official is Cassandra M Smith .
The authorized official title is Ceo and has the following contact phone number (216) 716-0202.

The enumeration date for this NPI number is 3/25/2026 and was last updated on 3/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3163W00000XRegistered NurseNo
4163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
5163WC0400XRegistered NurseCase ManagementNo
6171M00000XCase Manager/Care CoordinatorNo
7251B00000XCase ManagementNo
8251S00000XCommunity/Behavioral HealthNo
9261QC1500XClinic/CenterCommunity HealthNo
10261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
11320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
12322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
13385H00000XRespite CareNo
14385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
15101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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