Samelia Spencer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701009617 Issued in VA

Practice address

300 Karl Linn Dr Apt 415
North Chesterfield, VA 23225-6983

Phone

(804) 651-4080

NPI assigned

Aug 18, 2020

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vibrance, LLC

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1578238838
  NPD Authorized official

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1427660919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724",
            "telephone_number": "804-554-0356",
            "fax_number": "617-807-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KARL LINN DR APT 415",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232256983",
            "telephone_number": "804-651-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13817 Village Mill Dr Ste R",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231144378",
            "country_code": "US",
            "telephone_number": "804-554-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SAMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialized Solutions Family Services
• Spectrum Support Services, L.L.C.
• Spectrum Transformation Group, LLC
• Spectrum Transformation Group, LLC (Spectrum Transformation Group)
• Cassandra Spencer
• Gwen V Sperling, LCSW
• Samuel Sponeybarger
• Angela Marie Sprigle, M.D.
• Jacob Ryan Spruell
• T'Aisya Squire

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.