Spence Clinical Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SPENCE CLINICAL SERVICES, PLLC

Practice address

100 Fox Glove Dr
Mooresville, NC 28115-3630

Phone

(704) 621-7154

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Kristin F Hepler, LPCS, LCAS, CCSNPI 1912170036

Title

Ownder

Phone

(704) 621-7154

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin F Hepler, M.ED, LPC, NCC, LCAS

  • Professional Counselor
  • Charlotte, NC
  • NPI 1912170036
  NPD Authorized official

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1689221525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281150264",
            "telephone_number": "704-621-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOX GLOVE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153630",
            "telephone_number": "704-621-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCE CLINICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "HEPLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "704-621-7154",
        "authorized_official_credential": "LPCS, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Justin Kyle Squeo, DPT
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• Stafford & Associates Counseling, PLLC
• Nanci Stafford, LCSW
• Kevin J Stanley, MD

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.