Individual provider Active NPI

Kelli R Spencer, LPC, NCC

  • Mental Health Counselor
  • Sandy Springs, GA
National Provider Identifier
1831615046
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC011649 Issued in GA
Practice address
6100 Lake Forrest Dr Ste 450
Sandy Springs, GA 30328-3837
Phone
(404) 500-9232
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC011649 GA Primary

Addresses

Primary practice location

6100 Lake Forrest Dr Ste 450
Sandy Springs, GA 30328-3837

Mailing address

4700 Powers Ferry Rd
Atlanta, GA 30327-3429
Phone (404) 500-9232

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

State licenses

LicenseStateTypeSpecialty
LPC011649GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelli R. Spencer Counseling LLC Mental Health CurrentSince Jan 31, 2021 Accepting new patients
Warnecke Professional Counseling, PC PastSince Jul 31, 2017 Accepting new patients

Locations

6100 Lake Forrest Dr
Ste 450
Sandy Springs, GA 30328
Phone (404) 343-4162

Organizations & group practices 2

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1831615046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POWERS FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273429",
            "telephone_number": "404-500-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR STE 450",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283837",
            "telephone_number": "404-500-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KELLI",
        "middle_name": "R",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.