NPIMap

Organization Active NPI

Spence Counseling Center PC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1073559175
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPENCE COUNSELING CENTER PC
Practice address
12035 Q St
Omaha, NE 68137-3542
Phone
(402) 991-0611
Fax
(402) 991-6228
NPI assigned
Jun 20, 2006
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Rhonda Spence
Title
Director of Operations
Phone
(402) 704-7814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

12035 Q St
Omaha, NE 68137-3542

Mailing address

12035 Q St
Omaha, NE 68137-3542
Phone (402) 991-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091217000537 IA Part B Supplier - Clinic/Group Practice 6204976525 Receives reassigned benefits from 4 practitioners
Practice locations: Council Bluffs, IA; Red Oak, IA
O20180123000527 NE Part B Supplier - Clinic/Group Practice 6204976525 Receives reassigned benefits from 15 practitioners
Practice locations: Fremont, NE; Omaha, NE
O20180817002248 KS Part B Supplier - Clinic/Group Practice 6204976525 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

20794 Highway 92
Council Bluffs, IA 51503
Phone 40299106112022

2309 S 13th St
Council Bluffs, IA 51501
Phone (402) 991-0611

239 Frank St
Council Bluffs, IA 51503
Phone (402) 991-0611

2701 N 8th St
Red Oak, IA 51566
Phone (402) 991-0611

805 New Hampshire St
Ste C
Lawrence, KS 66044
Phone (785) 214-4012

1615 N Lincoln Ave
Fremont, NE 68025
Phone (402) 721-5180

12035 Q St
Omaha, NE 68137
Phone (402) 704-7814

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1073559175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373542",
            "telephone_number": "402-991-0611",
            "fax_number": "402-991-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373542",
            "telephone_number": "402-991-0611",
            "fax_number": "402-991-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCE COUNSELING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "402-704-7814"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.