Individual provider Active NPI

Zachary Scott Spoerl, LPC

  • Mental Health Counselor
  • Cookeville, TN
National Provider Identifier
1578270260
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6124 Issued in TN
Practice address
441 E Broad St Ste J
Cookeville, TN 38501-3390
Phone
(727) 234-3846
NPI assigned
Nov 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6124 TN Primary

Addresses

Primary practice location

441 E Broad St Ste J
Cookeville, TN 38501-3390

Mailing address

921 Allen Ave
Cookeville, TN 38501-2625
Phone (727) 234-3846

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

State licenses

LicenseStateTypeSpecialty
6124TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1578270260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 ALLEN AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012625",
            "telephone_number": "727-234-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E BROAD ST STE J",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013390",
            "telephone_number": "727-234-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOERL",
        "first_name": "ZACHARY",
        "middle_name": "SCOTT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.