Daniella Rae Spencer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2026004805 Issued in MO

Practice address

125 Starview Dr
Troy, MO 63379-6907

Phone

(314) 656-6283

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Full Health Wellness Systems

  • Adult Mental Health Clinic/Center
  • Nevada, MO
  • NPI 1942865878
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1538874151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 STARVIEW DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633796907",
            "telephone_number": "314-656-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 STARVIEW DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633796907",
            "telephone_number": "314-656-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DANIELLA",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2026004805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Short, DMD
• Amber Simpson, D.C.
• Scott Edward Smalley, O.D.
• Evan Jubae Smith, DC
• Lisa Anne Smith, NP-C
• SSM Cardinal Glennon Children'S Hospital
• SSM Medical Group Inc.
• SSM St. Charles Clinic Medical Group, Inc.
• Sstar LLC
• St. Louis Dermatology & Cosmetic Surgery

• Professional Counselor in Troy, MO
• Providers in Troy, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.