Active NPI
Jeanine D. Spear, LMFT & LPC
- Marriage & Family Therapist
- High Point, NC
National Provider Identifier
1083821391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 989
- Practice address
- 1316 Trinity Ave
High Point, NC 27260-8358 - Phone
- (336) 362-5626
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4885 | NC | |
| Marriage & Family Therapist | 106H00000X | 989 | NC | Primary |
Addresses
Primary practice location
1316 Trinity Ave
High Point, NC 27260-8358
Mailing address
4520 Johnson St
Colfax, NC 27235-9407
Phone (336) 362-5626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 4885 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1083821391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 JOHNSON ST",
"city": "COLFAX",
"state": "NC",
"postal_code": "272359407",
"telephone_number": "336-362-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 TRINITY AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272608358",
"telephone_number": "336-362-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "JEANINE",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "LMFT & LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4885",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.