Stephanie Santos-Spencer, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1859 Issued in MA

Practice address

200 Chauncy St Ste 113
Mansfield, MA 02048-1200

Phone

(508) 928-4574

NPI assigned

Sep 13, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thriving Dahlia Therapy, LLC

  • Marriage & Family Therapist
  • Mansfield, MA
  • NPI 1134874530
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1023443694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST STE 113",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-928-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST STE 113",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-928-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-SPENCER",
        "first_name": "STEPHANIE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MFT00175",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SPENCER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hamid H Saheb-Kashaf, M.D.
• Scot E Sallaway, P.A.
• Alexandra Sammartino
• Madeleine Carey Sampson, M.D.
• Reina Santiago Cedeno
• Bonnie Santos
• Heather Jeanne Sargent, TRAINER
• Giscard Sarkis
• Darlene Ann Schwartz I
• Kevin Scott

• Marriage & Family Therapist in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.