Individual provider Active NPI

Cheryl Spence

  • Professional Counselor
  • Logan, OH
National Provider Identifier
1528418241
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1400606 Issued in OH
Practice address
12896 Grey St
Logan, OH 43138-9638
Phone
(740) 592-6720
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151077 OH
Professional Counselor 101YP2500X 1400606 OH Primary

Addresses

Primary practice location

12896 Grey St
Logan, OH 43138-9638

Mailing address

PO Box 724
Athens, OH 45701-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240102003043 OH Practitioner - Mental Health Counselor 3971953068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151077OHMDAddiction (Substance Use Disorder) Counselor
1400606OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Recovery Services, Inc Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Health Recovery Services, Inc Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

10050 Bassett Rd
Athens, OH 45701
Phone (740) 594-8108

224 Columbus Rd
Athens, OH 45701
Phone (740) 592-6720

224 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6724

12896 Grey St
Logan, OH 43138
Phone (740) 380-6354

Organizations & group practices 2

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1528418241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12896 GREY ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389638",
            "telephone_number": "740-592-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151077",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "1400606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.