Individual provider Active NPI

Patricia Spens

  • Counselor
  • Charleston, SC
National Provider Identifier
1699479048
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4000 Faber Place Dr
Charleston, SC 29405-8585
Phone
(312) 476-9064
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

4000 Faber Place Dr
Charleston, SC 29405-8585

Mailing address

PO Box 752123
Houston, TX 77275-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029003423 SC Practitioner - Mental Health Counselor 5496288466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8763SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Notary & Things, LLC Counselor CurrentSince Aug 8, 2024 Accepting new patients

Locations

150 Bw Thomas Dr
Ste 109
Fort Mill, SC 29708
Phone (980) 365-0100

Interoperability endpoints

  • Direct secure messaging: patricia.spens.1@31593.direct.athenahealth.com
  • Direct secure messaging: patricia.spens@hca5.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1699479048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752123",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772752123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "312-476-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENS",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.