Emily Nicole Spain

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21881 Issued in NC

Practice address

3622 Lyckan Pkwy Ste 1001
Durham, NC 27707-2565

Phone

(910) 986-6064

NPI assigned

Apr 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1801690144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MARTIN LUTHER KING JR BLVD APT 204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141969",
            "telephone_number": "910-986-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 1001",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072565",
            "telephone_number": "910-986-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sozo Life and Wellness Center, PLLC
• SP Internal Medicine P.C.
• Felicia Spadini, APRN
• Joshua Paul Spaete
• Tede Spahn
• Ronald David Spain Sr., D.D.S.
• Sydney Zara Spal, DDS
• Tom Spalding, P.A.
• Shea Spampneto, LCSW
• Marybeth Spanarkel, MD

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.