Samantha Susan Spencer, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0019407 Issued in CO

Practice address

77 3Rd St Ste 400
Monument, CO 80132-8179

Phone

(719) 259-4951

NPI assigned

Oct 3, 2018

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• 24Lincoln, LLC

  • Mental Health Counselor
  • Monument, CO
  • NPI 1255075040
  Medicare reassignment NPD
• Catholic Charities of the Diocese of Yakima

  • Community/Behavioral Health Agency
  • Yakima, WA
  • NPI 1316248149
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1093280232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 3RD ST STE 400",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328179",
            "telephone_number": "719-259-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 3RD ST STE 400",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328179",
            "telephone_number": "719-259-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SAMANTHA",
        "middle_name": "SUSAN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0019407",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Smith
• Karen Marty Smoot, MS,CCC/SLP
• SNS Professional Services, LLC
• Brooke Snyder
• Sojourn Counseling Center
• Alexander Spositi, PT, DPT
• Springs Soft Tissue, Inc.
• Valerie Spruce
• Monica Williams Stanton, M.D.
• Steamboat Orthopaedic and Spine Institute Monument LLC

• Professional Counselor in Monument, CO
• Providers in Monument, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.