Individual provider Active NPI

Norman Scott Spencer

  • Professional Counselor
  • South Boston, VA
National Provider Identifier
1245030212
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014654 Issued in VA
Practice address
504 Wilborn Ave
South Boston, VA 24592-3120
Phone
(434) 517-3651
Fax
(434) 517-3043
NPI assigned
Mar 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014654 VA Primary

Addresses

Primary practice location

504 Wilborn Ave
South Boston, VA 24592-3120

Mailing address

504 Wilborn Ave
South Boston, VA 24592-3120
Phone (434) 517-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20260107002583 VA Practitioner - Marriage and Family Therapist 8224514500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

504 Wilborn Ave
South Boston, VA 24592-3120

824 N Military Hwy
Suite 100
Norfolk, VA 23502-3652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014654VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Regional Hospital, Inc. CurrentSince Oct 17, 2025 Accepting new patients
Halifax Regional Hospital, Inc CurrentSince Oct 17, 2025 Accepting new patients

Locations

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

504 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3400

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1245030212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923120",
            "telephone_number": "434-517-3651",
            "fax_number": "434-517-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923120",
            "telephone_number": "434-517-3651",
            "fax_number": "434-517-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NORMAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.