Active NPI
Brittany Dawn Spaulding, MA, LSW, PC
- Professional Counselor
- Boardman, OH
National Provider Identifier
1679832281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.0900321
- Practice address
- 5500 Market St
Suite 106
Boardman, OH 44512-2601 - Phone
- (330) 788-1155
- NPI assigned
- May 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0900321 | OH | Primary |
| Social Worker | 104100000X | S.0800031 | OH |
Addresses
Primary practice location
5500 Market St
Suite 106
Boardman, OH 44512-2601
Mailing address
2803 Akron Rd
Wooster, OH 44691-7904
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0900321 | OH | MD | Professional Counselor |
| S.0800031 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1679832281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 AKRON RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MARKET ST",
"address_2": "SUITE 106",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445122601",
"telephone_number": "330-788-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "BRITTANY",
"middle_name": "DAWN",
"name_prefix": "Miss",
"credential": "MA, LSW, PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0900321",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0800031",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
- Southwoods Anesthesia Inc
- Southwoods Counseling LLC
- Southwoods Rehabilitation LLC (Southwoods Physical Therapy)
- Southwoods Rehabilitation LLC (Southwoods Physical Therapy)
- Shaina Spangler, MD
- Specialized Home Care Providers, LLC (Specialized Senior Care)
- Sidney Rebecca Spencer, DO
- Jenna E Speziale, CNP, FNP-BC
- Kyla Spies, LICDC
- Gloria L Spires, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.