Individual provider Active NPI

M. Estelle Spike, MS, LMHC

  • Professional Counselor
  • Marshfield, MA
National Provider Identifier
1679543086
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015571 Issued in MI
Practice address
1209 Ocean St Unit 233
Marshfield, MA 02050-3680
Phone
(561) 414-1317
Fax
(517) 366-2562
NPI assigned
Jan 26, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH3829 FL
Professional Counselor 101YP2500X 6401015571 MI Primary

Addresses

Primary practice location

1209 Ocean St Unit 233
Marshfield, MA 02050-3680

Mailing address

1209 Ocean St Unit 233
Marshfield, MA 02050-3680
Phone (561) 414-1317

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
Master of Science

State licenses

LicenseStateTypeSpecialty
MH3829FLMDMental Health Counselor
6401015571MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
M. Estelle Spike & Associates, Inc. Mental Health CurrentSince Feb 12, 2023 Accepting new patients

Locations

1200 N Federal Hwy
Ste 200
Boca Raton, FL 33432
Phone (561) 210-8644

Interoperability endpoints

  • Direct secure messaging: mariespike@tdh.allscriptsdirect.net

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1679543086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 OCEAN ST UNIT 233",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503680",
            "telephone_number": "561-414-1317",
            "fax_number": "517-366-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 OCEAN ST UNIT 233",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503680",
            "telephone_number": "561-414-1317",
            "fax_number": "517-366-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIKE",
        "first_name": "M.",
        "middle_name": "ESTELLE",
        "name_prefix": "Ms.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3829",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.