Active NPI
Christopher Michael Spencer, MS, CGC, LGC
- Genetic Counselor (M.S.)
- Winston Salem, NC
National Provider Identifier
1336762749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 1010 Bethesda CT
Winston Salem, NC 27103-3019 - Phone
- (336) 277-6000
- Fax
- (336) 277-6001
- NPI assigned
- May 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 0139000340 | VA | |
| Genetic Counselor (M.S.) | 170300000X | NC | Primary |
Addresses
Primary practice location
1010 Bethesda CT
Winston Salem, NC 27103-3019
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
601 Childrens Ln
Norfolk, VA 23507-1910
Phone (757) 668-9723
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0139000340 | VA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1336762749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BETHESDA CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033019",
"telephone_number": "336-277-6000",
"fax_number": "336-277-6001"
}
],
"practiceLocations": [
{
"address_1": "601 Childrens Ln",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071910",
"country_code": "US",
"telephone_number": "757-668-9723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "MS, CGC, LGC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-20",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "VA",
"license": "0139000340",
"primary": false
},
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.