Active NPI
Sarah Spencer
- Peer Specialist
- Canton, MI
National Provider Identifier
1164066221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 50430 School House Rd
Canton, MI 48187-5910 - Phone
- (734) 787-2079
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
50430 School House Rd
Canton, MI 48187-5910
Mailing address
50430 School House Rd
Canton, MI 48187-5910
Phone (734) 787-2079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282334 | Medicaid | MI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth Works, Inc | Current | Accepting new patients | |
| Growth Works Inc. | Past | Accepting new patients |
Locations
50430 School House Rd
Canton, MI 48187
Phone (734) 495-1722
Organizations & group practices 2
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.
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- NPI 1851448146
-
- Case Management Agency
- Plymouth, MI
- NPI 1386978385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1164066221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50430 SCHOOL HOUSE RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481875910",
"telephone_number": "734-787-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50430 SCHOOL HOUSE RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481875910",
"telephone_number": "734-787-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282334",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.