Spencer Paul Conco

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18123 Issued in NC

Practice address

1077 13TH St SE
Hickory, NC 28602-4165

Phone

(704) 864-6573

NPI assigned

May 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pinnacle Family Services of NC LLC

  • Community/Behavioral Health Agency
  • Hickory, NC
  • NPI 1699221606
  NPD (past)

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1306138268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 13TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "704-864-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 13TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "704-864-6573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Midway St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201706",
            "country_code": "US",
            "telephone_number": "423-989-4500",
            "fax_number": "423-989-4582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONCO",
        "first_name": "SPENCER",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "18123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complex Rehab Solution
• Complex Rehab Solutions, LLC
• Comprehensive Wound Treatment, PLLC
• Sarah Murphy Compton, MD
• Comserv, Inc.
• Stephanie Conkling, MA CCC-SLP
• Kady Hurst Conrad, FNP
• Jennifer Conway, M.D.
• Debra Kay Cook, LCSWA
• Kayla Cook, MOT OTR/L

• Professional Counselor in Hickory, NC
• Providers in Hickory, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.