Individual provider Active NPI

Thomas Darrell Spencer Jr.

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1487988713
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0169161 Issued in NM
Practice address
2 Cuesta LN
Santa Fe, NM 87508-8782
Phone
(505) 426-5750
NPI assigned
Sep 18, 2009
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0169161 NM Primary

Addresses

Primary practice location

2 Cuesta LN
Santa Fe, NM 87508-8782

Mailing address

2 Cuesta LN
Santa Fe, NM 87508-8782
Phone (505) 426-5750

Other identifiers 1

IdentifierTypeStateIssuer
6014487MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002227 NM Practitioner - Mental Health Counselor 3870932312 Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7453NCMDMental Health Counselor
0169161NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Spencer PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1487988713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CUESTA LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088782",
            "telephone_number": "505-426-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CUESTA LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088782",
            "telephone_number": "505-426-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "THOMAS",
        "middle_name": "DARRELL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0169161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6014487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.