Active NPI
Jefferson Spencer
- Counselor
- Mountain BRK, AL
National Provider Identifier
1235592866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3452
- Practice address
- 300 Office Park Dr Ste 220
Mountain BRK, AL 35223-2473 - Phone
- (205) 538-3099
- NPI assigned
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3452 | AL | Primary |
Addresses
Primary practice location
300 Office Park Dr Ste 220
Mountain BRK, AL 35223-2473
Mailing address
300 Office Park Drive Suite 220
Birmingham, AL 35223
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 |
|---|---|---|---|
| 3452 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1235592866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OFFICE PARK DRIVE SUITE 220",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OFFICE PARK DR STE 220",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232473",
"telephone_number": "205-538-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "JEFFERSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain BRK, AL
- Tyler Smith, PHARM D.
- Sobera Dermatology Group, PC
- Jenny Oakes Sobera, MD
- William E. Somerall Jr., M.D.
- Special Formula Prescriptions Inc (Special Formula Prescriptions)
- Carly Kathleen Spoerl, LMSW
- Caroline Moore Springfield, M.S., CCC-SLP
- Bretrese Stacy, LPC, NCC
- Starlight ABA Al LLC
- Elizabeth Staup, MS, RD, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.