Active NPI
Judith Spater, MED, LPCC
- Professional Counselor
- Granville, OH
National Provider Identifier
1780771204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0320
- Practice address
- 1943 Newark Granville Rd
Granville, OH 43023-9169 - Phone
- (740) 587-5252
- Fax
- (740) 587-2571
- NPI assigned
- Oct 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0320 | OH | Primary |
Addresses
Primary practice location
1943 Newark Granville Rd
Granville, OH 43023-9169
Mailing address
1943 Newark Granville Rd
Granville, OH 43023-9169
Phone (740) 587-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000323669 | Other | OH | ANTHEM BCBS |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0320 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780771204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 NEWARK GRANVILLE RD",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239169",
"telephone_number": "740-587-5252",
"fax_number": "740-587-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 NEWARK GRANVILLE RD",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239169",
"telephone_number": "740-587-5252",
"fax_number": "740-587-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATER",
"first_name": "JUDITH",
"credential": "MED, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000323669",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.