Active NPI
Todd Spencer, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- Buffalo, NY
National Provider Identifier
1124298500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20181
- Practice address
- 951 Niagara Street
Adolescent Outpatient Chemical Dependency Program
Buffalo, NY 14213 - Phone
- (716) 883-5344
- Fax
- (716) 884-1758
- NPI assigned
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20181 | NY | Primary |
Addresses
Primary practice location
951 Niagara Street
Adolescent Outpatient Chemical Dependency Program
Buffalo, NY 14213
Mailing address
254 Franklin Street
Lake Shore Behavioral Health
Buffalo, NY 14202
Phone (716) 842-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20181 | Other | NY | CASAC-T |
Other names 1
- Mr. Todd Rodriguez-Spencer
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20181 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1124298500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 FRANKLIN STREET",
"address_2": "LAKE SHORE BEHAVIORAL HEALTH",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-842-0440",
"fax_number": "716-842-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NIAGARA STREET",
"address_2": "ADOLESCENT OUTPATIENT CHEMICAL DEPENDENCY PROGRAM",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14213",
"telephone_number": "716-883-5344",
"fax_number": "716-884-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "TODD",
"name_prefix": "Mr.",
"credential": "CASAC-T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "20181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASAC-T",
"identifier": "20181",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TODD",
"last_name": "RODRIGUEZ-SPENCER",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.