Active NPI
Melissa H Spencer
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1437875713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1 Westinghouse PLZ
Boston, MA 02136-2075 - Phone
- (617) 910-9605
- NPI assigned
- Oct 18, 2022
- Last updated
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1 Westinghouse PLZ
Boston, MA 02136-2075
Mailing address
11 James St
Brookline, MA 02446-3750
Phone (904) 377-4215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100228672951 | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ehr.icanotes.com | ||
| Other URL | ehr.icanotes.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1437875713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 JAMES ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463750",
"telephone_number": "904-377-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WESTINGHOUSE PLZ",
"city": "BOSTON",
"state": "MA",
"postal_code": "021362075",
"telephone_number": "617-910-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MELISSA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100228672951",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ehr.icanotes.com",
"affiliation": "N",
"address_1": "1 Westinghouse Plz",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021362075",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ehr.icanotes.com",
"affiliation": "N",
"endpointDescription": "url",
"address_1": "1 Westinghouse Plz",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021362075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.