Vicki Lynn Spaulding, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4209-125 Issued in WI

Practice address

600 W Virginia St
#203
Milwaukee, WI 53204-1500

Phone

(414) 831-4500

Fax

(414) 255-3451

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Clinic LLCGroup PAC ID 4385826502, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lighthouse Clinic

  • Psychologist
  • Milwaukee, WI
  • NPI 1912216219

  Professional

  Medicare reassignment Care Compare group NPD
• The Bridge Health Clinics & Research Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1083932263
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1770911869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W VIRGINIA ST",
            "address_2": "#203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041500",
            "telephone_number": "414-831-4500",
            "fax_number": "414-255-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W VIRGINIA ST",
            "address_2": "#203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041500",
            "telephone_number": "414-831-4500",
            "fax_number": "414-255-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4209-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Spann Turner, APSW
• Mildred Marie Spann
• Ara Sparkman
• Grace Sparkman
• Stephanie A. Sparks-Thompson, LPN
• Kelsey Speaker
• Andrew Dale Spearman, M.D.
• Terry L Spears Barnett, MD
• Electisa Spears-Hood, RN
• Allison Spears

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.