Jeremy Spence, LLPC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3915805 Issued in MI

Practice address

244 Washington St
Traverse City, MI 49684-2546

Phone

(231) 313-9998

NPI assigned

Aug 18, 2015

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

State licenses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1366818825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E STATE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862713",
            "telephone_number": "231-313-9998",
            "fax_number": "231-714-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WASHINGTON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842546",
            "telephone_number": "231-313-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "JEREMY",
        "credential": "LLPC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "3915805",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1200119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech for All Seasons
• Amy Spegele
• Karen M Speirs, DO
• Courtney Spence
• Douglas M Spence Jr., MD
• Marcella Spence, FNP
• Daniel John Spencer, DPM
• Penelope E Spencer, LMSW
• Rena Spencer
• Susan Carol Spencer, M.A., CCC-SLP

• Mental Health Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.