Active NPI
Terry Spence
- Mental Health Counselor
- Norfolk, NE
National Provider Identifier
1669897252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10180
- Practice address
- 200 N 34TH St
Norfolk, NE 68701-3197 - Phone
- (402) 371-3044
- Fax
- (402) 371-9643
- NPI assigned
- Feb 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10180 | NE | Primary |
Addresses
Primary practice location
200 N 34TH St
Norfolk, NE 68701-3197
Mailing address
83890 570 Ave
Stanton, NE 68779-2064
Phone (402) 841-0656
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10180 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1669897252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83890 570 AVE",
"city": "STANTON",
"state": "NE",
"postal_code": "687792064",
"telephone_number": "402-841-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N 34TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013197",
"telephone_number": "402-371-3044",
"fax_number": "402-371-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "TERRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.