Individual provider Active NPI

Kristi Spence, LMFT

  • Marriage & Family Therapist
  • Broken Arrow, OK
National Provider Identifier
1831791524
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11409 Issued in OK
Practice address
840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803
Phone
(918) 212-8389
NPI assigned
Nov 9, 2020
Last updated
Oct 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11409 OK Primary

Addresses

Primary practice location

840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803

Mailing address

840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803
Phone (918) 212-8389

Other practice location 1

2498 W New Orleans St
Broken Arrow, OK 74011-1590
Phone (918) 505-4367 ext. 709

Other practice location 2

2035A W. Houston Street
Broken Arrow, OK 74012
Phone (918) 505-4367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 17, 2024 through Aug 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11409OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Counseling Service PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1831791524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S ASPEN AVE STE F",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124803",
            "telephone_number": "918-212-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S ASPEN AVE STE F",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124803",
            "telephone_number": "918-212-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2498 W New Orleans St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740111590",
            "country_code": "US",
            "telephone_number": "918-505-4367 x709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035A W. Houston Street",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "74012",
            "country_code": "US",
            "telephone_number": "918-505-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "KRISTI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "11409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.