Active NPI
Minor Mariah Spengler, M.ED, M.S., PHD
- Professional Counselor
- College Station, TX
National Provider Identifier
1700895349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76505
- Practice address
- 4519 Mills Park Cir Ste 200
College Station, TX 77845-1109 - Phone
- (979) 820-0827
- NPI assigned
- Aug 5, 2006
- Last updated
- Mar 11, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 9042 | FL | |
| Professional Counselor | 101YP2500X | 76505 | TX | Primary |
Addresses
Primary practice location
4519 Mills Park Cir Ste 200
College Station, TX 77845-1109
Mailing address
14881 FM 2154 Unit 448
Wellborn, TX 77881-0820
Phone (979) 820-0827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 10, 2025 through Feb 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education, Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 9042 | FL | MD | Mental Health Counselor |
| 76505 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678492800000",
"number": "1700895349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14881 FM 2154 UNIT 448",
"city": "WELLBORN",
"state": "TX",
"postal_code": "778810820",
"telephone_number": "979-820-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 MILLS PARK CIR STE 200",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778451109",
"telephone_number": "979-820-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENGLER",
"first_name": "MINOR",
"middle_name": "MARIAH",
"credential": "M.ED, M.S., PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 9042",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.