Individual provider Active NPI

Karlie R. Spader

  • Professional Counselor
  • Newtown, CT
National Provider Identifier
1306583729
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5547 Issued in CT
Practice address
10 Queen St
Newtown, CT 06470-2156
Phone
(203) 304-9977
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 5547 CT Primary

Addresses

Primary practice location

10 Queen St
Newtown, CT 06470-2156

Mailing address

111 Old Turnpike Rd Apt 5
Beacon Falls, CT 06403-1312
Phone (203) 996-7093

Other practice location 1

260 Amity Rd Ste 202
Woodbridge, CT 06525-2222
Phone (203) 812-9972

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

LicenseStateTypeSpecialty
5547CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Newtown Family Therapy PastSince May 22, 2022 Accepting new patients
Apex Psychological Services LLC PastSince Mar 22, 2020 Accepting new patients

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1306583729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OLD TURNPIKE RD APT 5",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064031312",
            "telephone_number": "203-996-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 QUEEN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702156",
            "telephone_number": "203-304-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Amity Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252222",
            "country_code": "US",
            "telephone_number": "203-812-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADER",
        "first_name": "KARLIE",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.