Active NPI
Kimberly Ann Spencer, BA, LAC, PCCM
- Addiction (Substance Use Disorder) Counselor
- Topeka, KS
National Provider Identifier
1548684202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 171
- Practice address
- 1500 SW 10TH Avenue
Topeka, KS 66606 - Phone
- (785) 825-6224
- Fax
- (785) 825-1433
- NPI assigned
- Feb 14, 2014
- Last updated
- Jul 21, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 171 | KS | Primary |
Addresses
Primary practice location
1500 SW 10TH Avenue
Topeka, KS 66606
Mailing address
1805 South Ohio Street
Salina, KS 67401
Phone (785) 825-6224
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1548684202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SOUTH OHIO STREET",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-825-6224",
"fax_number": "785-825-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVENUE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "66606",
"telephone_number": "785-825-6224",
"fax_number": "785-825-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "BA, LAC, PCCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.