NPIMap

Organization Active NPI

Spencer and Associates Therapeutic Alliance, PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1376089185
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4021 Issued in KY
Legal business name
SPENCER AND ASSOCIATES THERAPEUTIC ALLIANCE, PLLC
Practice address
12340 Jones Rd Ste 290
Houston, TX 77070-3129
Phone
(832) 756-2749
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Authorized official

Name
Regina Spencer, LCSWNPI 1700815065
Title
Owner
Phone
(832) 756-2749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 4021 KY Primary

Addresses

Primary practice location

12340 Jones Rd Ste 290
Houston, TX 77070-3129

Mailing address

12822 Ivyforest Dr
Cypress, TX 77429-2013
Phone (859) 816-8226

Other identifiers 2

IdentifierTypeStateIssuer
394812701MedicaidTX
7100396920MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701475200000",
    "number": "1376089185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 IVYFOREST DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292013",
            "telephone_number": "859-816-8226",
            "fax_number": "859-201-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 JONES RD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703129",
            "telephone_number": "832-756-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER AND ASSOCIATES THERAPEUTIC ALLIANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-756-2749",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394812701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100396920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.