Active NPI
Darah Susan Spencer
- Counselor
- Albuquerque, NM
National Provider Identifier
1124304803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1709 Moon St NE
Albuquerque, NM 87112-3935 - Phone
- (505) 271-0329
- Fax
- (505) 271-4957
- NPI assigned
- Oct 26, 2011
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NM | ||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1709 Moon St NE
Albuquerque, NM 87112-3935
Mailing address
PO Box 28220
Santa Fe, NM 87592-8220
Other practice location 1
118 Este Es Rd Unit H
Taos, NM 87571-6669
Phone (575) 758-7263
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1124304803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28220",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875928220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 MOON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123935",
"telephone_number": "505-271-0329",
"fax_number": "505-271-4957"
}
],
"practiceLocations": [
{
"address_1": "118 Este Es Rd Unit H",
"address_purpose": "LOCATION",
"city": "Taos",
"state": "NM",
"postal_code": "875716669",
"country_code": "US",
"telephone_number": "575-758-7263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "DARAH",
"middle_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2024-05-10",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.